{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T03:41:34Z","timestamp":1761709294284},"reference-count":27,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,1,25]],"date-time":"2017-01-25T00:00:00Z","timestamp":1485302400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The study was conducted to delineate the histological problems in diagnosing uterine mesenchymal tumors in morcellated material.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All cases of morcellated uteri performed between 2008 and 2014 were reviewed. The incidence of unexpected malignancy, defined as any neoplasm with a clear\u2010cut diagnosis of leiomyosarcoma (LMS) or endometrial stromal sarcoma (ESS), was noted. Cases with absolute discrepancy between the diagnosis of the morcellated tumor and the subsequent diagnosis were also included in the study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Out of 631 cases, a final diagnosis of LMS or ESS was made regarding three and five tumors, respectively. Patient age ranged from 25 to 48 years. Two further cases initially diagnosed as ESS proved to be endometrial stromal nodules with smooth muscle differentiation. Two cases were diagnosed as smooth muscle tumors with uncertain malignant potential and the patients remain free of disease. One tumor was diagnosed as an endometrial stromal neoplasm and proved to be benign and finally a leiomyoma variant presented with presumed peritoneal disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Both endometrial stromal and smooth muscle tumors with malignant behavior can be encountered at a young age. Because of the limitations in histological evaluation, morcellated tumors may be overdiagnosed or underdiagnosed by pathologists.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.13240","type":"journal-article","created":{"date-parts":[[2017,1,25]],"date-time":"2017-01-25T09:47:08Z","timestamp":1485337628000},"page":"580-586","source":"Crossref","is-referenced-by-count":5,"title":["Morcellating uterine mesenchymal tumors: The pathologist's view"],"prefix":"10.1111","volume":"43","author":[{"given":"Kitty","family":"Pavlakis","sequence":"first","affiliation":[{"name":"Pathology Department IASO Women's Hospital  Maroussi Greece"},{"name":"Pathology Department National and Kapodistrian University of Athens  Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irini","family":"Messini","sequence":"additional","affiliation":[{"name":"Pathology Department IASO Women's Hospital  Maroussi Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Petros","family":"Yiannou","sequence":"additional","affiliation":[{"name":"Pathology Department IASO Women's Hospital  Maroussi Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theofani","family":"Gavresea","sequence":"additional","affiliation":[{"name":"Pathology Department IASO Women's Hospital  Maroussi Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dimitris","family":"Chrysanthakis","sequence":"additional","affiliation":[{"name":"Pathology Department IASO Women's Hospital  Maroussi Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georgios","family":"Hilaris","sequence":"additional","affiliation":[{"name":"IASO Women's Hospital Athens Greece and Stanford University Hospital  Stanford California USA"},{"name":"Stanford University Hospital  Stanford California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theodoros","family":"Panoskaltsis","sequence":"additional","affiliation":[{"name":"2nd Department of Obstetrics and Gynecology Medical School National and Kapodistrian University of Athens  Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,1,25]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2014.10.022"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(12)90910-2"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2011.01.014"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2011.04.021"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2010.07.001"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/dju339"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0050058"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/PGP.0b013e3182107ecf"},{"key":"e_1_2_6_10_1","unstructured":"Laparoscopic uterine power morcellation in hysterectomy and myomectomy:FDA Safety Communication.Release date 17 Apr 2014. 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