Ostalo
Hyalinizing spindle cell tumor with giant rosettes of the uterus – a case report
Stela Bulimbašić
; Sveti Duh General Hospital, Zagreb, Croatia
Irena Novosel
; Dr. Ivo Pedišić General Hospital, Sisak, Croatia
Marijana Dasovoć-Knežević
; General Hospital Zadar, Croatia
Lidija Beketić-Orešković
; Department of Radiotherapy, University Hospital for Tumors Zagreb, Croatia
Viktor Šeparović
; Department of Pathology, University Hospital for Tumors Zagreb, Croatia
Sažetak
Hyalinizing spindle cell tumor with giant rosettes (HSCTGR) is unusual, recently recognized entity, histologically characterized by the presence of large rosette-like structures. Apart from these formations, histological features of HSCTGR are indistinguishable from low-grade fibromyxoid sarcoma (LGFMS), and available data suggest that these two tumors present different variants of the same entity.
Herein we report the case of HSTCGR found in the uterus. To our knowledge, the present case is the first description of HSTGR occurring at this location as well as the first HSCTGR described in the Croatian medical literature.
A 38-year-old woman presented to her gynecologist with symptoms of acute pain in the lower abdomen. Gynecological ultrasound examination showed an enlarged uterus with a tumor mass. Total hysterectomy and bilateral adnexectomy with selective pelvic and para-aortal lymphadenectomy were performed. Serial slicing of the enlarged uterus revealed a grayish white tumor mass with 15 cm in maximum length. The margins of the tumor merged with the uterine wall and the tumor infiltrated more than one half of the myometrium. Histologically, the tumor showed typical features of HSTGR.
Postoperatively, no complications occurred.
Twenty-two months after surgery, our patient is alive with no signs of recurrence. She needs to be followed up for a long period because HSTCGR belongs to a low-grade malignancy group with the potential to recur and produce late metastasis.
Ključne riječi
giant rosettes; low-grade sarcoma; fibromyxoid sarcoma; uterus
Hrčak ID:
281592
URI
Datum izdavanja:
20.12.2004.
Posjeta: 370 *