Smooth muscle tumor: Difference between revisions
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{{Further|Evaluation of tumors}} | {{Further|Evaluation of tumors}} | ||
===Microscopic report=== | ===Microscopic report=== | ||
Example: | Example, for a [[cervical polyp]]: | ||
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File:Histopathology of uterine leiomyoma.jpg | |||
File:Uterine leiomyoma with lining.jpg | |||
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Polyp lined by a single layer of columnar epithelium consistent with endometrium. The interior consists of smooth muscles in a whorled pattern. No atypia. The finding is consistent with a pedunculated submucosal leiomyoma. | |||
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Revision as of 10:51, 2 March 2020
Author:
Mikael Häggström [note 1]
Gross processing
Gross examination
Examine and describe:[1]
- Location
- Number of tumors, if multiple
- Size
- Demarcation
Selection
In case of hysterectomy, submit pieces from all smooth muscle tumors >5 cm in diameter.[1]
Submit any macroscopically abnormal parts of the tumors (hemorrhagic, necrotic, brittle or softening areas, and areas with blurry delimitation).[1]
Microscopic examination
Distinguish leiomyoma (benign) from leiomyosarcoma (malignant).
-
Leiomyomas typically show smooth muscle in a whorled (fascicular) pattern[2]
-
This variant of Van Gieson's stain distinguishes muscle (yellow) from connective tissue (red)
-
Epithelioid leiomyoma
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Leiomyoma with palisading pattern
-
Leiomyosarcoma
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Epithelioid leiomyosarcoma
Further information: Evaluation of tumors
Microscopic report
Example, for a cervical polyp:
|
Polyp lined by a single layer of columnar epithelium consistent with endometrium. The interior consists of smooth muscles in a whorled pattern. No atypia. The finding is consistent with a pedunculated submucosal leiomyoma. |
Notes
- ↑ For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Patholines:Authorship for details.
Main page
References
- ↑ 1.0 1.1 1.2 Monica Dahlgren, Janne Malina, Anna Måsbäck, Otto Ljungberg. Stora utskärningen. KVAST (Swedish Society of Pathology). Retrieved on 2019-09-26.
- ↑ Mohamed Mokhtar Desouki. Uterus - Stromal tumors - Leiomyoma. pathology Outlines. Topic Completed: 1 August 2011. Revised: 15 December 2019
Image sources