{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,13]],"date-time":"2026-11-13T11:34:36Z","timestamp":1794569676820,"version":"4.9.1"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,5,1]],"date-time":"2024-05-01T00:00:00Z","timestamp":1714521600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,5,1]],"date-time":"2024-05-01T00:00:00Z","timestamp":1714521600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,4,2]],"date-time":"2024-04-02T00:00:00Z","timestamp":1712016000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Uterine smooth muscle tumors of uncertain malignant potential (STUMP) are extremely rare, defined as a uterine smooth muscle tumors that cannot be diagnosed as benign or malignant and does not satisfy all the criteria for leiomyosarcoma or leiomyoma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case representation:<\/jats:title>\n                    <jats:p>A 48-year-old woman who presented with a history of heavy menstrual bleeding and pelvic pain. Physical examination revealed an enlarged uterus. Ultrasonography showed lobular and enlarged uterus containing multiples leiomyomas. A subtotal hysterectomy was performed. A Pathological analysis revealed a uterine mass diagnosed as a smooth muscle tumor of uncertain malignant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Uterine STUMPs are rare and are commonly diagnosed by histopathological evaluation following myomectomy or hysterectomy. The most common clinical manifestations of uterine STUMP are the same as leiomyomas. Prognosis for the patient is unclear and there is a risk of recurrence with the tumors. However, considering their potential risk of recurrence and metastasis, it is advisable to maintain six-monthly controls for 5 years and then annual controls for 5 years more.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Due to the rarity of uterine STUMP, there are no specific guidelines for their treatment and control. The scientific literature needs to be constantly updated in order to identify masses suspected of malignancy before surgery and improve patient management and follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.109607","type":"journal-article","created":{"date-parts":[[2024,4,4]],"date-time":"2024-04-04T11:54:52Z","timestamp":1712231692000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Uterine smooth muscle tumors of uncertain malignant potential (STUMP): A case report"],"prefix":"10.1097","volume":"118","author":[{"given":"Fatima","family":"El Hassouni","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samia","family":"Tligui","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asmaa","family":"Lakhdissi","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, National Institute of Oncology, Rabat, Morocco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lamiaa","family":"Rouas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mounia","family":"El Youssfi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"11","key":"R1-38-20260325","doi-asserted-by":"crossref","first-page":"680","DOI":"10.1159\/000494299","article-title":"Uterine leiomyosarcoma","volume":"41","author":"Juhasz-B\u00f6ss,","year":"2018","journal-title":"Oncol. Res. Treat."},{"key":"R2-38-20260325","doi-asserted-by":"crossref","first-page":"E00176","DOI":"10.1016\/j.crwh.2020.e00176","article-title":"Uterine smooth muscle tumour of uncertain malignant potential (STUMP): where are we now?","volume":"26","author":"Ganesan,","year":"2020","journal-title":"Case Rep. Womens Health"},{"issue":"3","key":"R3-38-20260325","doi-asserted-by":"crossref","first-page":"99","DOI":"10.3390\/diseases11030099","article-title":"A review and follow-up of uterine smooth muscle tumours of uncertain malignant potential (STUMP): a case series and literature review","volume":"11","author":"Lapresa-Alcalde,","year":"2023","journal-title":"Diseases"},{"issue":"2","key":"R4-38-20260325","doi-asserted-by":"crossref","first-page":"302","DOI":"10.26574\/maedica.2021.16.2.302","article-title":"Rare case of smooth muscle tumor of uncertain malignant potential - clinical case","volume":"16","author":"Akad,","year":"2021","journal-title":"Maedica"},{"issue":"13","key":"R5-38-20260325","doi-asserted-by":"crossref","first-page":"8302","DOI":"10.1245\/s10434-022-12353-y","article-title":"Clinical and histopathological predictors of recurrence in uterine smooth muscle tumor of uncertain malignant potential (STUMP): a multicenter retrospective cohort study of tertiary centers","volume":"29","author":"Borella,","year":"2022","journal-title":"Ann. Surg. Oncol."},{"issue":"1","key":"R6-38-20260325","first-page":"1","article-title":"Prolapsed uterine smooth muscle tumor of uncertain malignant potential: a case report and review of radiological findings","volume":"120","author":"Jeon","journal-title":"Curr. Med. Imaging"},{"key":"R7-38-20260325","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/j.ejogrb.2020.01.002","article-title":"Clinical experience of uterine smooth muscle tumor of uncertain malignant potential in two gynecological centers: oncological and obstetrical aspects","volume":"246","author":"Shim,","year":"2020","journal-title":"Eur. J. Obstet. Gynecol. Reprod. Biol."},{"issue":"2","key":"R8-38-20260325","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1002\/uog.24855","article-title":"Ultrasound features of highly vascularized uterine myomas (uterine smooth muscle tumors) and correlation with histopathology","volume":"60","author":"Russo,","year":"2022","journal-title":"Ultrasound Obstet. Gynecol."},{"issue":"6","key":"R9-38-20260325","doi-asserted-by":"crossref","first-page":"935","DOI":"10.1016\/j.tjog.2022.08.003","article-title":"Uterine smooth muscle tumor of uncertain malignant potential: a review of current knowledge","volume":"61","author":"Liu,","year":"2022","journal-title":"Taiwan. J. Obstet. Gynecol."},{"key":"R10-38-20260325","doi-asserted-by":"crossref","first-page":"153592","DOI":"10.1016\/j.prp.2021.153592","article-title":"p53, p16 and ki67 as immunohistochemical prognostic markers in uterine smooth muscle tumors of uncertain malignant potential (STUMP)","volume":"226","author":"Travaglino,","year":"2021","journal-title":"Pathol. Res. Pract."},{"issue":"5","key":"R11-38-20260325","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi,","year":"2023","journal-title":"Int. J. Surg. Lond. 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