Research Article
Subserosal Myoma Associated with Stump (Smooth Muscle Tumors of Uncertain Malignancy Potential): A Case Report
Meryem Lamrani
,
Khaoula Lakhdar,
Oumaima Sardaoui,
Yacir Alami,
Fouad Tijami,
Hafid Hachi,
Zaki El Hanchi,
Aziz Baydada
Issue:
Volume 9, Issue 4, December 2024
Pages:
52-56
Received:
4 November 2024
Accepted:
15 November 2024
Published:
29 November 2024
Abstract: Smooth muscle tumors of the uterus are typically benign, but a rare subset known as smooth muscle tumors of uncertain malignant potential (STUMP) poses diagnostic challenges. First classified by the World Health Organization in 2003 due to their atypical histological features, STUMPs are difficult to distinguish from benign leiomyomas and malignant leiomyosarcomas. This case study describes a 53-year-old woman with a large abdomino-pelvic mass, initially suspected to be sarcoma. Clinical and imaging evaluations, including MRI, led to exploratory laparotomy, revealing a subserosal myoma associated with STUMP. Histopathological analysis confirmed the diagnosis, underscoring the complexities in differentiating STUMPs from other uterine tumors. STUMPs account for a portion of uterine sarcomas, and accurate diagnosis relies on specific histological criteria, including nuclear atypia, mitosis index, and tumor necrosis. Advanced imaging, such as dynamic MRI, helps improve differentiation between STUMP, leiomyosarcoma, and leiomyoma. Although STUMPs are rare, they typically have a better prognosis than leiomyosarcomas, with lower recurrence rates. However, due to their uncertain behavior, patients require long-term monitoring. The limited understanding of STUMPs highlights the need for continued research and clinical vigilance to improve diagnosis and management strategies.
Abstract: Smooth muscle tumors of the uterus are typically benign, but a rare subset known as smooth muscle tumors of uncertain malignant potential (STUMP) poses diagnostic challenges. First classified by the World Health Organization in 2003 due to their atypical histological features, STUMPs are difficult to distinguish from benign leiomyomas and malignant...
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Research Article
Comparative Study to Evaluate Irradiated Small Bowel Volume with or Without Using Belly Board During Treating Pelvic Malignancy in 3dcrt Technique
Shuvra Debnath*,
Muhammad Abdullah-Al-Noman,
Mohammed Shaiful Hassan Shameem,
Swapan Kumar Bandyopadhayaa,
Shafayat Muhammed,
Nihar Ranjon Das,
Md. Golam Zel Asmaul Husna,
Tasneem Hossain,
Saiful Alam,
Tasnim Mahmud
Issue:
Volume 9, Issue 4, December 2024
Pages:
57-62
Received:
13 November 2024
Accepted:
26 November 2024
Published:
13 December 2024
Abstract: Gastrointestinal (GI) toxicity is the most frequently encountered complication of pelvic radiotherapy with clinically significant acute and late toxicity occurring in up to 60% and 20% of patients, respectively. The current study was conducted to assess and compare irradiated small bowel volume and dose between prone position using belly board and supine position without belly board in pelvic radiotherapy. Methods: It was a quasi-experimental study conducted at the department of Radiation Oncology of NICRH. Sixty patients of rectal and cervical malignancy were included in the study. They were enrolled in either arm A or arm B to receive radiotherapy to pelvis in supine position or prone position with belly board, respectively by 3DCRT technique. Results: There were no statistically significant differences in distributions of the patients across the two arms regarding age and other various demographic data, abdominal girth etc. Irradiated volume was significantly low in arm-B (5189cm3 vs. 3485cm3, p-value<0.001). Small bowel volume which received 45Gy was also significantly low in arm-B (351cm3 vs. 191cm3, p-value<0.001). Radiation dose to 195cm3 of small bowel volume was 53Gy vs. 36Gy in arm-A and arm-B respectively (p-value<0.001). Conclusion: Using belly board in prone position is comfortable, inexpensive, highly reproducible, and permits maximal bowel displacement from standard pelvic radiotherapy fields.
Abstract: Gastrointestinal (GI) toxicity is the most frequently encountered complication of pelvic radiotherapy with clinically significant acute and late toxicity occurring in up to 60% and 20% of patients, respectively. The current study was conducted to assess and compare irradiated small bowel volume and dose between prone position using belly board and ...
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