KURODA Hajime
Department School of Medicine(Tokyo Women's Medical University Adachi Medical Center), School of Medicine Position Professor |
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Article types | Case report |
Language | English |
Peer review | Peer reviewed |
Title | Liposarcoma of the uterine corpus: A case report and literature review. |
Journal | Formal name:Gynecologic oncology reports Abbreviation:Gynecol Oncol Rep ISSN code:23525789/23525789 |
Domestic / Foregin | Foregin |
Volume, Issue, Page | 26,pp.78-81 |
Author and coauthor | Kiuchi Kaori, Hasegawa Kiyoshi, Ochiai Shoko, Kosaka Nobuaki, Kuroda Hajime, Kaji Yasushi, Fukasawa Ichio |
Publication date | 2018/11 |
Summary | Liposarcoma of the uterine corpus is extremely rare. We performed a laparotomy on a 55-year-old woman with the complaints of abdominal distension and genital bleeding who was found to have a uterine tumor, 17 × 16 cm in diameter. The preoperative diagnosis was a lipoma or lipoleiomyoma of the uterine corpus. However, pathological examination revealed proliferation of mature adipocytes and lipoblast-like atypical cells with small, weakly pleomorphic nuclei and foamy or vacuolated cytoplasm present within a fibrous septum. Immunohistochemistry showed that the tumor cells were focally positive for mouse double minute 2 homolog (MDM2). The final pathological diagnosis was a well-differentiated liposarcoma of International Federation of Gynecology and Obstetrics (FIGO) stage IB (pT1bNxM0). On magnetic resonance imaging (MRI), T1 -weighted and fat-saturated images showed high and low intensity in the tumor, respectively, suggesting that this tumor contained a fat component. The septum inside the tumor had a contrast enhancement on T1-weighted, gadolinium-enhanced imaging. The septum was nonuniformly thickened and partially nodular. In hindsight, these findings may have suggested a well-differentiated liposarcoma in the uterine corpus rather than a lipoma or lipoleiomyoma. Clinicians should be aware of the possibility of a liposarcoma of the uterine corpus when a neoplasm contains adipose tissue and a nonuniformly thickened or partially nodular septum on MRI. |
DOI | 10.1016/j.gore.2018.10.008 |
PMID | 30386812 |