IMR Press / EJGO / Volume 25 / Issue 4 / pii/2004213

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Original Research

Stromomyomas of the uterus - importance of total circumferential evaluation of the margin

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1 Department of Pathology, Zeynep Kami/ Maternity Hospital, Istanbul (Turkey)
2 Obstetrics and Gynecology, Zeynep Kami/ Maternity Hospital, Istanbul (Turkey)
Eur. J. Gynaecol. Oncol. 2004, 25(4), 489–492;
Published: 10 August 2004

Four stromomyomas were extensively dissected to represent the entire circumference of the uterus on sequential histologic sec­tions. In all cases the smooth muscle component was extensive, and irregular interdigitation of stromal neoplasia with a smooth muscle component made evaluation of the margin difficult. It was impossible to determine where the smooth muscle component of the neoplasm ended and where peritumoral normal myometrium began. This makes the detection of vascular invasion more impor­tant. At the end of a thorough evaluation of sections, large vessel invasion was found on the circumference of three stromomyomas in a particular foci of the margin. Extensive circumferential evaluation of the margin has been evaluated as a promising procedure to allow effective distinction of stromomyomas with focal angioinvasion.

Endometrial stromal tumors
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