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Difference between revisions of "Uterine leiomyoma"
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{{ Infobox diagnosis | |||
| Name = {{PAGENAME}} | |||
| Image = Histopathology of uterine leiomyoma.jpg | |||
| Width = | |||
| Caption = Uterine leiomyoma. [[H&E stain]]. | |||
| Synonyms = uterine fibroid | |||
| Micro = spindle cells arranged in fascicles, usually without atypia | |||
| Subtypes = atypical leiomyoma (symplastic leiomyoma), lipoleiomyoma, cellular leiomyoma, others | |||
| LMDDx = [[leiomyosarcoma]], [[STUMP]], [[dermatomyofibroma]], [[adenomatoid tumour]] | |||
| Stains = | |||
| IHC = | |||
| EM = | |||
| Molecular = | |||
| IF = | |||
| Gross = sharply circumscribed lesion, gray-white, whorled appearance | |||
| Grossing = [[Hysterectomy for fibroids grossing]] | |||
| Staging = | |||
| Site = | |||
| Assdx = | |||
| Syndromes = | |||
| Clinicalhx = | |||
| Signs = | |||
| Symptoms = | |||
| Prevalence = very common | |||
| Bloodwork = | |||
| Rads = | |||
| Endoscopy = | |||
| Prognosis = benign | |||
| Other = | |||
| ClinDDx = other [[uterine tumours]] | |||
| Tx = surgical (myomectomy, hysterectomy) or medical | |||
}} | |||
'''Uterine leiomyoma''', commonly '''fibroid''', is a very common benign smooth muscle tumour of the [[uterus]]. | '''Uterine leiomyoma''', commonly '''fibroid''', is a very common benign smooth muscle tumour of the [[uterus]]. | ||
The more general topic of leiomyoma is covered in the article ''[[leiomyoma]]''. | |||
==General== | ==General== | ||
| Line 21: | Line 53: | ||
* [[Necrosis]]. | * [[Necrosis]]. | ||
==Microscopic== | |||
Features: | Features: | ||
* Spindle cells arranged in fascicles. | * Spindle cells arranged in fascicles. | ||
| Line 33: | Line 65: | ||
* Few mitoses. | * Few mitoses. | ||
DDx: | |||
*[ | *[[Leiomyosarcoma]]. | ||
*[[Smooth muscle tumour of uncertain malignant potential]] (STUMP). | |||
*[[Adenomatoid tumour]]. | |||
===Variants=== | ===Variants=== | ||
<!-- variants https://www.ajronline.org/doi/full/10.2214/AJR.14.13946 --> | |||
*Lipoleiomyoma - with adipose tissue. | *Lipoleiomyoma - with adipose tissue. | ||
**Image: [http://commons.wikimedia.org/wiki/File:Lipoleiomyoma1.jpg Lipoleiomyoma - low mag. (WC)]. | **Image: [http://commons.wikimedia.org/wiki/File:Lipoleiomyoma1.jpg Lipoleiomyoma - low mag. (WC)]. | ||