{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:30:47Z","timestamp":1787070647527,"version":"build-2736575974"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Extrauterine leiomyomas (EULs) are rare benign smooth muscle tumors that arise outside the uterus, often leading to diagnostic challenges.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate the clinical and pathological characteristics of EULs and their management in a tertiary care setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This retrospective study reviewed 51 cases of EULs over a 5.5-year period. Data on demographics, clinical presentation, tumor location, histology, and treatment were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The mean patient age was 41.6 years, with 41.2% aged 40\u201350 and 15.7% post-menopausal. Abnormal uterine bleeding (AUB) was the most common symptom (66.7%). Tumors were most frequently located in the cervix (72.5%), followed by the broad ligament (11.8%) and ovaries (7.8%). Histologically, EULs resembled uterine leiomyomas, showing spindle-shaped cells and low mitotic activity. Surgical excision was the primary treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>EULs, though uncommon, should be considered in differential diagnoses of pelvic masses. Accurate histopathological evaluation is essential to avoid misdiagnosis and unnecessary intervention. This study enhances current understanding of EUL presentation and management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jmh.jmh_7_25","type":"journal-article","created":{"date-parts":[[2025,6,23]],"date-time":"2025-06-23T06:00:25Z","timestamp":1750658425000},"page":"144-147","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Diverse Presentations of Extrauterine Leiomyomas in the Female Urogenital Tract: A Retrospective Series of 51 Cases"],"prefix":"10.4103","volume":"16","author":[{"given":"Tanvi","family":"Jha","sequence":"first","affiliation":[{"name":"Department of Pathology, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arvind","family":"Ahuja","sequence":"additional","affiliation":[{"name":"Department of Pathology, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anuj","family":"Chachra","sequence":"additional","affiliation":[{"name":"Department of Pathology, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Purnima","family":"Paliwal","sequence":"additional","affiliation":[{"name":"Department of Pathology, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamna","family":"Dutta","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,6,23]]},"reference":[{"key":"R1-20250628","doi-asserted-by":"crossref","first-page":"232","DOI":"10.18203\/2320-1770.ijrcog20215109","article-title":"Challenges in the diagnosis and treatment of extrauterine leiomyomas: Case series","volume":"11","author":"Tang","year":"2022","journal-title":"Int J Reprod Contracept Obstet Gynecol"},{"key":"R2-20250628","doi-asserted-by":"crossref","first-page":"1408247","DOI":"10.3389\/fmed.2024.1408247","article-title":"Extrauterine leiomyomas in uncommon locations: Two case reports and literature review","volume":"11","author":"Yavuz","year":"2024","journal-title":"Front Med (Lausanne)"},{"key":"R3-20250628","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1186\/s13000-023-01427-4","article-title":"Benign metastasizing leiomyoma: New insights into a rare disease with an obscure 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leiomyoma: An extremely rare extrauterine leiomyoma","volume":"9","author":"Rao","year":"2022","journal-title":"Ann Pathol Lab Med"},{"key":"R8-20250628","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1016\/j.jogc.2020.05.011","article-title":"Large benign leiomyoma of the vulva: An unusual extrauterine location","volume":"44","author":"Pokoradi","year":"2022","journal-title":"J Obstet Gynaecol Can"},{"key":"R9-20250628","first-page":"285","article-title":"Extrauterine leiomyomata presenting with sepsis requiring hemicolectomy","volume":"34","author":"Dan","year":"2012","journal-title":"Rev Bras Ginecol Obstet"},{"key":"R11-20250628","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1186\/s12890-023-02406-7","article-title":"Pulmonary benign metastasizing leiomyoma in patients aged 45 years and younger: Clinical features and novelty in treatment","volume":"23","author":"Su","year":"2023","journal-title":"BMC Pulm Med"},{"key":"R12-20250628","doi-asserted-by":"crossref","first-page":"409","DOI":"10.21088\/ijprp.2278.148X.5316.30","article-title":"Leiomyoma of vulva","volume":"5","author":"Chidambaram","year":"2016","journal-title":"Indian J Pathol Res Pract"}],"container-title":["Journal of Mid-life 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