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• W2043826477 abstract "Los STUMPs (tumoraciones mesenquimales de músculo liso uterino de potencial incierto) son tumoraciones infrecuentes, que pertenecen a las tumoraciones mesenquimales de músculo liso uterino. Estas tumoraciones no pueden definirse ni como totalmente benignas ni malignas. Presentamos un caso clínico de una paciente de 27 años que consultó por sensación de plenitud, aumento del perímetro abdominal y polaquiuria de 6 meses de evolución. Ecográficamente se visualizó una masa intramural-subserosa de 9 cm en fondo uterino, con sospecha de degeneración hialina, que fue extirpada quirúrgicamente. El estudio anatomopatológico reveló el diagnóstico de tumoración muscular lisa de potencial maligno incierto, variante epiteloide. Los STUMPs se diagnostican anatomopatológicamente, siendo este proceso complejo y requiriendo, en gran número de ocasiones, técnicas inmunohistoquímicas para conseguir un diagnóstico y pronóstico más preciso. El tratamiento es quirúrgico, pudiendo realizar una histerectomía o bien, siendo más conservadores, la exéresis de la tumoración, ya que la mayoría tienen un comportamiento benigno. Uterine smooth-muscle tumours with unusual growth patterns represent an histologically heterogeneous and uncommon group of uterine smooth-muscle tumours that cannot be diagnosed as either benign or malignant.We report the case of a 27year-old woman who consulted for a 6-month history of bladder fullness sensation, abdominal distension and polaquiuria. Transvaginal ultrasound showed a 9cm intramural mass at the uterine fundus that was surgically excised. The anatomopathological diagnosis of uterine smooth-muscle tumour with growth pattern, epithelioid variant, was reported. The diagnosis of uterine smooth-muscle tumours may create great challenges for the pathologist who classifies these tumours by their histological features. The immunohistochemical staining may be helpful to establish their behaviour and prognosis. The clinical management remains a dilema and surgical treatment of choice has not been well defined, due to their uncertain clinical behaviour. Most of these tumours have a benign clinical course but these patients should receive long-term follow-up." @default.
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• W2043826477 date "2013-10-01" @default.
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• W2043826477 title "Tumoraciones mesenquimales de músculo liso uterino de potencial incierto: revisión anatomopatológica y pronóstica de un caso clínico" @default.
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