Cotyledonoid dissecting leiomyoma of the uterus with infiltration
of tumor cells within intestinal wall: the first Polish case report
of a rare uterine tumor and review of the literature

Piotr Niziurski; Katarzyna Roszkowska-Purska; Jakub Młodawski; Marta Młodawska; Mariusz Malmur

doi:10.5114/ms.2020.102328

eISSN: 2300-6722
ISSN: 1899-1874

Medical Studies/Studia Medyczne

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4/2020
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abstract:

Case report

Cotyledonoid dissecting leiomyoma of the uterus with infiltration of tumor cells within intestinal wall: the first Polish case report of a rare uterine tumor and review of the literature

Piotr Niziurski

^{1, 2}

,

Katarzyna Roszkowska-Purska

³

,

Jakub Młodawski

^{1, 2}

,

Marta Młodawska

¹

,

Mariusz Malmur

²

Department of Obstetrics and Gynecology, Collegium Medicum, Jan Kochanowski University, Kielce, Poland
Clinic of Obstetrics and Gynecology, Provincial Combined Hospital, Kielce, Poland
Department of Pathology, Institute of Oncology, Maria Sklodowska-Curie National Research, Warsaw, Poland

Medical Studies/Studia Medyczne 2020; 36 (4): 328–331

DOI: https://doi.org/10.5114/ms.2020.102328

Online publish date: 2020/12/31

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AMA

Niziurski P, Roszkowska-Purska K, Młodawski J, Młodawska M, Malmur M. Cotyledonoid dissecting leiomyoma of the uterus with infiltration
of tumor cells within intestinal wall: the first Polish case report
of a rare uterine tumor and review of the literature. Medical Studies/Studia Medyczne. 2020;36(4):328-331. doi:10.5114/ms.2020.102328.

APA

Niziurski, P., Roszkowska-Purska, K., Młodawski, J., Młodawska, M.,  & Malmur, M. (2020). Cotyledonoid dissecting leiomyoma of the uterus with infiltration
of tumor cells within intestinal wall: the first Polish case report
of a rare uterine tumor and review of the literature. Medical Studies/Studia Medyczne, 36(4), 328-331. https://doi.org/10.5114/ms.2020.102328

Chicago

Niziurski, Piotr, Katarzyna Roszkowska-Purska, Jakub Młodawski, Marta Młodawska,  and Mariusz Malmur. 2020. "Cotyledonoid dissecting leiomyoma of the uterus with infiltration
of tumor cells within intestinal wall: the first Polish case report
of a rare uterine tumor and review of the literature". Medical Studies/Studia Medyczne 36 (4): 328-331. doi:10.5114/ms.2020.102328.

Harvard

Niziurski, P., Roszkowska-Purska, K., Młodawski, J., Młodawska, M.,  and Malmur, M. (2020). Cotyledonoid dissecting leiomyoma of the uterus with infiltration
of tumor cells within intestinal wall: the first Polish case report
of a rare uterine tumor and review of the literature. Medical Studies/Studia Medyczne, 36(4), pp.328-331. https://doi.org/10.5114/ms.2020.102328

MLA

Niziurski, Piotr et al. "Cotyledonoid dissecting leiomyoma of the uterus with infiltration
of tumor cells within intestinal wall: the first Polish case report
of a rare uterine tumor and review of the literature." Medical Studies/Studia Medyczne, vol. 36, no. 4, 2020, pp. 328-331. doi:10.5114/ms.2020.102328.

Vancouver

Niziurski P, Roszkowska-Purska K, Młodawski J, Młodawska M, Malmur M. Cotyledonoid dissecting leiomyoma of the uterus with infiltration
of tumor cells within intestinal wall: the first Polish case report
of a rare uterine tumor and review of the literature. Medical Studies/Studia Medyczne. 2020;36(4):328-331. doi:10.5114/ms.2020.102328.

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Cotyledonoid dissecting leiomyoma (CDL, “Sternberg tumor”) is an unusual type of benign uterine smooth-muscle tumor with a distinctive gross appearance. Although this tumor is benign clinically and pathologically, the appearance and growth pattern are unusual; thus it may be misdiagnosed as a malignancy. A 41-year-old woman was admitted to the hospital with suspected fibroid uterus. The gynecological examination revealed a tumor corresponding to the size of approximately 18 weeks of pregnancy. The transvaginal ultrasound scan showed a 22 × 18 cm sized regular myoma-like contoured mass. She underwent laparotomy. In view of the alarming bizarre appearance, a provisional diagnosis of sarcoma was rendered, and total hysterectomy and bilateral salpingoophorectomy were performed. Simultaneously part of the small intestine adhering closely to the uterine tumor was removed with part of the mesentery. The definite pathologic examination result was cotyledonoid dissecting leiomyoma of the uterus with infiltration of tumor cells within the intestinal wall. The worrying appearance of the gross specimen is often mistaken for sarcoma or non-uterine lesions that may result in overtreatment. It is important to be aware of this entity to prevent overly aggressive treatment and preserve the fertility in young women.

keywords:

Cotyledonoid dissecting leiomyoma of the uterus with infiltration of tumor cells within intestinal wall: the first Polish case report of a rare uterine tumor and review of the literature

Piotr Niziurski 1, 2 , Katarzyna Roszkowska-Purska 3 , Jakub Młodawski 1, 2 , Marta Młodawska 1 , Mariusz Malmur 2

leiomyoma, case report, Sternberg tumor

Piotr Niziurski

^{1, 2}

,

Katarzyna Roszkowska-Purska

³

,

Jakub Młodawski

^{1, 2}

,

Marta Młodawska

¹

,

Mariusz Malmur

²