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. 2018 Sep 9;2018:2071394. doi: 10.1155/2018/2071394

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.”