{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T22:32:39Z","timestamp":1767825159064,"version":"3.49.0"},"reference-count":9,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 42-year-old para 2 women underwent laparotomy with a preoperative diagnosis of leiomyoma uterus and ovarian endometrioma. At laparotomy, uterus was 12-week size and bilateral tubes and ovaries were normal. There was a large friable reddish-brown mass dissecting the leaves of broad ligament with extension into pelvic cavity and retroperitoneal spaces. Total abdominal hysterectomy with bilateral salpingo-oophorectomy with resection of tumour was performed as there was concern about the possibility of malignancy. Histopathological examination revealed a cotyledonoid leiomyoma epithelioid variant. These tumours, though benign, raise the possibility of malignancy at the time of surgery due to their bizarre and sarcoma-like appearance. It is important for the pathologist and gynaecologist to be aware of this rare variant of leiomyoma to avoid an overtreatment<\/jats:p>","DOI":"10.1136\/bcr-2013-202434","type":"journal-article","created":{"date-parts":[[2014,1,10]],"date-time":"2014-01-10T09:57:52Z","timestamp":1389347872000},"page":"bcr2013202434","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Epithelioid cotyledonoid leiomyoma of uterus"],"prefix":"10.1136","volume":"2014","author":[{"given":"Indu","family":"Chawla","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Dr RML Hospital, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Minakshi","family":"Bhardwaj","sequence":"additional","affiliation":[{"name":"Department of Pathology, Dr RML Hospital, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neetu","family":"Sareen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Dr RML Hospital, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikhil","family":"Khattar","sequence":"additional","affiliation":[{"name":"Department of Urology, Dr RML Hospital, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,1,10]]},"reference":[{"key":"2025082707451691000_2014.jan10_1.bcr2013202434.1","first-page":"238","article-title":"Grape-like leiomyoma of the uterus","volume":"60","author":"David","year":"1975","journal-title":"Int Surg"},{"key":"2025082707451691000_2014.jan10_1.bcr2013202434.2","doi-asserted-by":"publisher","DOI":"10.1097\/00000478-199612000-00004"},{"key":"2025082707451691000_2014.jan10_1.bcr2013202434.3","doi-asserted-by":"crossref","first-page":"210","DOI":"10.5858\/2002-126-0210-CL","article-title":"Cotyledonoid leiomyoma: a benign uterine tumour with alarming gross appearance","volume":"126","author":"Cheuk","year":"2002","journal-title":"Arch Pathol Lab Med"},{"key":"2025082707451691000_2014.jan10_1.bcr2013202434.4","doi-asserted-by":"publisher","DOI":"10.1097\/01.pgp.0000186542.19434.ea"},{"key":"2025082707451691000_2014.jan10_1.bcr2013202434.5","doi-asserted-by":"publisher","DOI":"10.1186\/1746-1596-2-18"},{"key":"2025082707451691000_2014.jan10_1.bcr2013202434.6","doi-asserted-by":"crossref","first-page":"840","DOI":"10.3346\/jkms.2002.17.6.840","article-title":"Cotyledonoid dissecting leiomyoma of the uterus: a case report and review of literature","volume":"17","author":"Kim","year":"2002","journal-title":"J Korean Med Sci"},{"key":"2025082707451691000_2014.jan10_1.bcr2013202434.7","doi-asserted-by":"publisher","DOI":"10.1097\/00004347-200007000-00012"},{"key":"2025082707451691000_2014.jan10_1.bcr2013202434.8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1438.2005.00181.x"},{"key":"2025082707451691000_2014.jan10_1.bcr2013202434.9","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-010-1716-6"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-202434","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:45:25Z","timestamp":1756305925000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-202434"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,1,10]]},"references-count":9,"alternative-id":["10.1136\/bcr-2013-202434"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-202434","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,1,10]]}}}