title: Cotyledonoid dissecting leiomyoma of the uterus with intravascular growth in postmenopausal woman: a case presentation.
abstract: Cotyledonoid dissecting leiomyoma ("Sternberg tumor") is an unusual type of a benign uterine smooth-muscle tumor with a distinctive gross appearance. A 57-year-old woman (gravida 7, para 6), in menopause for 3 years, presented with a 3-4-year history of increased pelvic pain. The transvaginal ultrasound scan showed a 2.5 cm sized heterogenic mass in the uterus cavity and 4 × 5 cm sized irregular contoured mass in the right lateral aspect of the uterus. Total abdominal hysterectomy and bilateral salpingo-oophorectomy were performed with removal of the pelvic tumor extension. Definite pathologic examination result was cotyledonoid dissecting leiomyoma of the uterus with intravascular growth. The patient is receiving follow-up care every 6 months, and she has no evidence of disease after 22 months of follow-up. The worrying appearance of the gross specimen is often mistaken for malignant or non-uterine lesions that may result in overtreatment. It is important to be aware of this entity to prevent overly aggressive treatment for this benign smooth-muscle neoplasm.
authors.affiliation: Department of Obstetrics and Gynecology, Selcuk University Meram Medical School, Akyokuş, 42080 Konya, Turkey. kazimgezginc@hotmail.com
authors.forename: Kazim
authors.initials: K
authors.lastname: Gezginç
authors.forename: Fatma
authors.initials: F
authors.lastname: Yazici
authors.forename: Refika
authors.initials: R
authors.lastname: Selimoğlu
authors.forename: Lema
authors.initials: L
authors.lastname: Tavli
mesh_terms: D000005:Abdomen / Q000473:pathology; D005260:Female; D058869:Gynecological Examination / Q000379:methods; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D007889:Leiomyoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D018810:Magnetic Resonance Angiography; D008875:Middle Aged; D010052:Ovariectomy / Q000379:methods; D017698:Postmenopause; D014594:Uterine Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*