Table 2.
Summary of a case series reporting the clinicopathological features of leiomyomas of retroperitoneum.
| Authors; year of publication | |
|---|---|
| Billings et al.; 2001 [10] | |
| Clinical feature | |
| Age | Often of perimenopausal age (median, 44 years; range 16–72 years) |
| Gender | F >> M |
| Anatomical site | Primarily in the retroperitoneum; also in the mesentery/omentum |
|
| |
| Histological feature | |
| Architecture | Intersecting fascicles |
| Lesional cells | Mature smooth muscle cells, with bland, blunt-ended, or slightly tapered nuclei |
| Nuclear atypia | Absent; very focal, minimal atypia acceptable |
| Coagulative tumor cell necrosis | Absent |
| Mitotic activity | Low (mean, 1 mitosis/50 HPF; range, <1–10 mitoses/50 HPF)∗ |
| Atypical mitotic figures | Absent |
| Other findings | Cystic and degenerative changes (more frequent than in counterpart in deep somatic soft tissue) |
|
| |
| IHC | |
| ER and PR | Positive |
M, male; F, female; HPF, high power fields; IHC, immunohistochemistry; ER, estrogen receptor protein; PR, progesterone receptor protein. ∗The authors concluded that a smooth muscle tumor of retroperitoneum with >10 mitoses/50 HPF should be regarded as “smooth muscle tumors of uncertain malignant potential.”