|
|
Line 120: |
Line 120: |
| ==Smooth muscle tumour of uncertain malignant potential== | | ==Smooth muscle tumour of uncertain malignant potential== |
| *Abbreviated ''STUMP''. | | *Abbreviated ''STUMP''. |
| ===General===
| | {{Main|Smooth muscle tumour of uncertain malignant potential}} |
| *Like ''[[ASAP]]'' and ''[[ASCUS]]'' - a [[waffle diagnosis|waffle category]]... when one isn't sure it is a ''leiomyoma'' vs. ''leiomyosarcoma''.
| |
| *Clinical behaviour in uterus: usually benign.<ref name=pmid19417585>{{cite journal |author=Ip PP, Cheung AN, Clement PB |title=Uterine smooth muscle tumors of uncertain malignant potential (STUMP): a clinicopathologic analysis of 16 cases |journal=Am. J. Surg. Pathol. |volume=33 |issue=7 |pages=992–1005 |year=2009 |month=July |pmid=19417585 |doi=10.1097/PAS.0b013e3181a02d1c |url=}}</ref>
| |
| *Can be subclassified into four groups - as per Stanford.
| |
| *May be seen in the [[prostate gland]].<ref name=pmid21572264>{{Cite journal | last1 = Nagar | first1 = M. | last2 = Epstein | first2 = JI. | title = Epithelial proliferations in prostatic stromal tumors of uncertain malignant potential (STUMP). | journal = Am J Surg Pathol | volume = 35 | issue = 6 | pages = 898-903 | month = Jun | year = 2011 | doi = 10.1097/PAS.0b013e318214f2f2 | PMID = 21572264 }}</ref>
| |
| | |
| Management:
| |
| *Long-term follow-up.<ref name=pmid19417585/>
| |
| | |
| ===Microscopic===
| |
| Features associated with recurrence:<ref name=pmid19417585/>
| |
| *Nuclear atypia.
| |
| | |
| DDx:
| |
| *[[Uterine leiomyoma]].
| |
| *[[Uterine leiomyosarcoma]].
| |
| | |
| ===IHC===
| |
| Features associated with recurrence:<ref name=pmid19417585/>
| |
| *p16 +ve.
| |
| *p53 +ve.
| |
|
| |
|
| =Malignant= | | =Malignant= |