Mitotically active haemorrhagic cellular (apoplectic) leiomyoma.
Apoplectic leiomyoma is a distinctive smooth muscle tumour usually occurring in women either taking oral contraceptives or who are pregnant or recently postpartum. Most of these tumours show 0-2 mitoses per 10 high power fields, but a mitotic index of up to 8 per 10 high power fields is allowed in such tumours. We describe an apoplectic leiomyoma with a number of atypical features including a high mitotic index (up to 20 per 10 high power fields) in a 47-year-old woman. Follow-up clinically and by computerised tomography (CT) for 3 years demonstrates no recurrence.
Hock
Y L
YL
Department of Histopathology, Manor Hospital, Walsall, UK.
Goswami
P
P
Rollason
T P
TP
D005260:Female; D006470:Hemorrhage / Q000209:etiology* / Q000473:pathology; D006801:Humans; D007889:Leiomyoma / Q000235:genetics* / Q000473:pathology; D008875:Middle Aged; D008940:Mitotic Index / Q000235:genetics*; D011379:Prognosis; D018235:Smooth Muscle Tumor / Q000235:genetics* / Q000473:pathology