Smooth muscle tumour of uncertain malignant potential

From Libre Pathology
Revision as of 02:34, 23 October 2014 by Michael (talk | contribs) (split out)
Jump to navigation Jump to search

Smooth muscle tumour of uncertain malignant potential, abbreviated STUMP is smooth muscle lesion in which the behaviour (benign vs. malignant) cannot be ascertained with certainty.

General

  • Like ASAP and ASCUS - a waffle category... when one isn't sure it is a leiomyoma vs. leiomyosarcoma.
  • Clinical behaviour in uterus: usually benign.[1]
  • Can be subclassified into four groups - as per Stanford.
  • May be seen in the prostate gland.[2]

Management:

  • Long-term follow-up.[1]

Microscopic

Features associated with recurrence:[1]

  • Nuclear atypia.

DDx:

IHC

Features associated with recurrence:[1]

  • p16 +ve.
  • p53 +ve.


See also

References

  1. 1.0 1.1 1.2 1.3 Ip PP, Cheung AN, Clement PB (July 2009). "Uterine smooth muscle tumors of uncertain malignant potential (STUMP): a clinicopathologic analysis of 16 cases". Am. J. Surg. Pathol. 33 (7): 992–1005. doi:10.1097/PAS.0b013e3181a02d1c. PMID 19417585.
  2. Nagar, M.; Epstein, JI. (Jun 2011). "Epithelial proliferations in prostatic stromal tumors of uncertain malignant potential (STUMP).". Am J Surg Pathol 35 (6): 898-903. doi:10.1097/PAS.0b013e318214f2f2. PMID 21572264.