Uterine smooth muscle tumors of unknown malignant potential: A challenging question

Gian Franco Zannoni, Angiolo Gadducci

Risultato della ricerca: Contributo in rivistaArticolo in rivista

16 Citazioni (Scopus)

Abstract

Uterine smooth muscle tumors of unknown malignant potential [STUMP]s are neoplasms with pathological features that preclude an equivocal diagnosis of leiomyosarcoma, but that do not fulfill the criteria for leiomyoma or its variants, and raise concerns that the tumors may behave in a malign fashion. Total hysterectomy with or without bilateral salpingo-oophorectomy is the standard treatment if fertility is completed, whereas myomectomy alone can be taken into consideration in young patients who desire to preserve childbearing potential. A careful surveillance every 6 months for 5 years and then yearly is strongly warranted. Patients with STUMP can relapse as either STUMP or leiomyosarcoma in approximately 11–13% of the cases, and their 5-year overall survival ranges from 92 to 100%. The present paper reviews the clinicopathological features of uterine STUMPs with a particular focus on most commonly accepted histopathological criteria for the diagnosis and on biological behaviour of these controversial neoplasms.
Lingua originaleEnglish
pagine (da-a)631-637
Numero di pagine7
RivistaGynecologic Oncology
Volume154
DOI
Stato di pubblicazionePubblicato - 2019

Keywords

  • Female
  • Histopathology
  • Humans
  • Leiomyosarcoma
  • Molecular biomarkers
  • Smooth Muscle Tumor
  • Smooth muscle tumor of unknown malignant potential
  • Surgery
  • Uterine Neoplasms
  • Uterine sarcoma

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