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- W3208275959 abstract "Introduction: Atypical uterine leiomyoma (ALM) shows benign behavior and does not require adjuvant therapy. As the distinction between uterine leiomyoma, ALM, and leiomyosarcoma is only possible through pathology, it is almost impossible to diagnose ALM before surgery. Patient concerns: A 34-year-old multigravida woman who had undergone myomectomy for leiomyoma ten years earlier presented with fibroids that had gradually increased in size. Diagnoses: An ultrasound scan and abdominal and pelvic computed tomography revealed large myomas. The postoperative pathologic findings confirmed the diagnosis of ALM. The Ki-67 proliferation index was 15%. Interventions: We performed laparoscopic myomectomy. Outcomes: The patient recovered well after the surgery. The patient has undergone ultrasound follow-up every six months after surgery and has been doing well for three years without any recurrence. Conclusion: The combination of clinical features, imaging, pathological findings, and tumor suppressor gene Ki-67 expression may be of great value in the assessment of benign, atypical, and malignant uterine smooth muscle tumors. There are still no precise methods to differentiate them before surgery, and pathology remains the gold standard for diagnosis. Periodic monitoring is recommended until menopause, although the recommended interval remains controversial." @default.
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- W3208275959 date "2021-10-27" @default.
- W3208275959 modified "2023-09-26" @default.
- W3208275959 title "A case report of atypical uterine leiomyoma" @default.
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- W3208275959 doi "https://doi.org/10.1097/md9.0000000000000168" @default.
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