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| Year:
2016 |
Month:
July
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Volume:
5 |
Issue:
3 |
Page:
- |
Epithelioid Leiomyoma of Uterus: A Case Report
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Correspondence
Chidambharam Chocc alingam, Premila Samuel, Shivakumaran Gurusamy,
Dr. Chidambharam Choccalingam,
25, 6th Main Road, Raja Annamalipuram,
Chennai-600028, India.
E-mail: chidambharam@gmail.com :
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Uterine smooth muscle tumours with distinctive epithelioid smooth muscle cells are called as epithelioid leiomyoma or leiomyoblastoma as the cells resemble smooth muscle cells of foetal uterus. We report a case of epitheliod leiomyoma of uterus in a South Indian peri-menopausal female. Pathological examination showed a single sub-serosal fundal mass measuring 15 x 14 x 10 cm in diameter. Cut section of the mass showed soft to firm grey white areas along with cystic spaces. Microscopy revealed sheets and peri-theliomatous arrangement of round to polygonal cells with eosinophilic cytoplasm and vesicular nucleus. Immunohistochemically, the polygonal cells stained strongly and positively with Smooth Muscle Actin (SMA) and desmin and negative for HMB-45 stain. The Ki-67 proliferative index was less than 1%.
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