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KMID : 0358420120550120996
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Korean Journal of Obstetrics and Gynecology
2012 Volume.55 No. 12 p.996 ~ p.1000
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RETROPERITONEAL RECURRENCE OF UTERINE SMOOTH MUSCLE TUMOR OF UNCERTAIN MALIGNANT POTENTIAL AS LEIOMYOSARCOMA
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Jung Min-Jae
Park Jee-Hyun
Choi Suk-Jin
Song Eun-Seop
Hwang Sung-Ook
Park Jung-Woo
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Abstract
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A 57-year-old Korean woman visited 37 months after initial surgery with fetal head sized pelvic mass. Initially, she underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy, omentectomy, and para-aortic lymph node biopsy. The initial pathological report showed uterine smooth muscle tumors of uncertain malignant potential (STUMP). She had not received adjuvant therapy. Transvaginal ultrasound revealed multiple solid masses in the pelvic cavity. Abdomino-pelvic computed tomography scan revealed heterogeneous lobulated rounding masses. Tumor markers were all within the normal range. She underwent explorative laparotomy. The pathological diagnosis was epitheloid leiomyosarcoma. Patients with STUMP should be counseled regarding the potential for recurrence as leiomyosarcoma, and may require closer surveillance than a yearly.
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KEYWORD
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Uterine smooth muscle tumor of uncertain malignant potential, Recurrence, Leiomyosarcoma
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