{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:40:36Z","timestamp":1787071236216,"version":"build-2736575974"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:p>Leiomyomas with schwannoma-like features are very rare and can resemble peripheral nerve sheath tumors, particularly if the characteristics of Verocay bodies and nuclear palisading are present. Inclusion of mature adipose tissue (lipomatous differentiation) within similar tumors is uncommon. To our knowledge, no case with cervical leiomyoma that simultaneously presents schwannoma-like and lipomatous differentiation has been reported. A 54-year-old perimenopausal woman was operated upon for assumed fibroid uterus with total abdominal hysterectomy and bilateral salpingo-oophorectomy. Grossly, the specimen had a giant (20 cm), well-circumscribed cervical mass with bosselated surface. The cut surface was firm, grey-white with focal yellowish spots. Histology revealed a spindle cell tumor with striking nuclear palisading and Verocay body-type features, intermixed with mature adipose tissue. At first, these features were suggestive of schwannoma; however, immunohistochemistry exhibited diffuse smooth muscle actin (SMA) and desmin positivity, with S100 negativity, outlining smooth muscle lineage and categorically excluding neural origin. Lack of atypia, necrosis, or anaplastic cell proliferation further consolidated the diagnosis as benign. This represents the first documented case of a benign cervical leiomyoma exhibiting this dual morphologic pattern, underscoring the importance of recognizing such rare variants to avoid misdiagnosis.<\/jats:p>","DOI":"10.4103\/jmh.jmh_175_25","type":"journal-article","created":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T07:01:18Z","timestamp":1775199678000},"page":"178-181","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Giant Lipoleiomyoma of Cervix Mimicking as Schwannoma: First Case Report of a Dual Morphologic Variant"],"prefix":"10.4103","volume":"17","author":[{"given":"Manupriya","family":"Sharma","sequence":"first","affiliation":[{"name":"Department of Pathology and Lab Medicine, All India Institute of Medical Sciences, Bilaspur, Himachal Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anita","family":"Chaudhary","sequence":"additional","affiliation":[{"name":"Department of Pathology and Lab Medicine, All India Institute of Medical Sciences, Bilaspur, Himachal Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chanderdeep","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaeocology, All India Institute of Medical Sciences, Bilaspur, Himachal Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harpreet","family":"Kaur","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaeocology, All India Institute of Medical Sciences, Bilaspur, Himachal Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,3,31]]},"reference":[{"key":"R2-20260414","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1016\/j.jmig.2009.01.013","article-title":"Uterine smooth-muscle tumors with unusual growth patterns","volume":"16","author":"Vaquero","year":"2009","journal-title":"J Minim Invasive Gynecol"},{"key":"R3-20260414","doi-asserted-by":"crossref","first-page":"1691","DOI":"10.1016\/j.radcr.2023.01.094","article-title":"Schwannoma-like uterine leiomyoma with fever of unknown origin and surgical management in a middle-aged woman:A case report","volume":"18","author":"Yorita","year":"2023","journal-title":"Radiol Case Rep"},{"key":"R4-20260414","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/j.gore.2017.06.011","article-title":"Surgical management of a large neurilemmoma-like leiomyoma of the uterine cervix mimicking a retroperitoneal 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Hepatol"},{"key":"R8-20260414","doi-asserted-by":"crossref","first-page":"1852","DOI":"10.3390\/jpm12111852","article-title":"Lipoleiomyomas of the uterine cervix:A new series including the first recurrent case and the first systematic literature review","volume":"12","author":"Palicelli","year":"2022","journal-title":"J Pers Med"},{"key":"R9-20260414","doi-asserted-by":"crossref","first-page":"154916","DOI":"10.1016\/j.prp.2023.154916","article-title":"The use of clinicopathological, immunohistochemistry and molecular detection in the diagnosis of fumarate hydratase-deficient uterine leiomyomas","volume":"253","author":"Zhang","year":"2024","journal-title":"Pathol Res Pract"}],"container-title":["Journal of Mid-life 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