Page created on November 12, 2018. Last updated on June 6, 2022 at 09:16
We can see a well-circumscribed, encapsulated tumor with an expansile border. The uterine cavity has been compressed. A nodule is seen inside the tumor. There’s a cavity in the cervix as well.
Diagnosis: Leiomyoma of the uterus
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A leiomyoma is a benign tumor of smooth muscle. It often occurs in myometrium. The malignant version of this tumor would be a leiomyosarcoma. The cavity in the cervix was a Bartholin cyst.
The morphology of this tumor is similar to any other benign tumor.
The compressed uterine cavity causes characteristic symptoms, like:
The nodule can be either bleeding, hyaline, fibrosis or necrosis due to the tumor. (It’s definitely not clonal evolution or expansion.)
4 thoughts on “37. Leiomyoma of uterus”
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A good point to mention is the cavity in the cervix which is a Bartholin’s cyst.
Prof. Tornoszki asked me about it.