Journal of International Obstetrics and Gynecology ›› 2025, Vol. 52 ›› Issue (1): 42-45.doi: 10.12280/gjfckx.20240719

• Research on Gynecological Malignancies:Case Report • Previous Articles     Next Articles

A Case of Recurrent Uterine Smooth Muscle Tumor of Uncertain Malignant Potential Underwent Hysterectomy after Hysteroscopic Lesion Resection

LUO Na, CHEN Yan()   

  1. Department of Gynecology, Dali Bai Autonomous Prefecture Maternal and Child Health Care Hospital, Dali Bai Autonomous Prefecture 671000, Yunnan Province, China
  • Received:2024-08-11 Published:2025-02-15 Online:2025-02-14
  • Contact: CHEN Yan, E-mail: 1330589012@qq.com

Abstract:

Uterine smooth muscle tumor of uncertain malignant potential (STUMP) is a kind of uterine smooth muscle tumor that can′t be clearly diagnosed as benign or malignant, dut to its the complexity of the diagnosis, the current diagnostic criteria are inconsistent, more clinical research reports are needed to provide better evidence-based medical evidence for its diagnosis, therapy and prognosis. We report a case of a patient who underwent hysteroscopy for a dominant lesion in the uterine cavity. Type 0 submucous fibroid was considered during the operation, and was resected. STUMP was diagnosed by pathology after the operation, and hysterectomy was performed 2 months after the operation. Retrospective analysis of this case suggests that the preoperative diagnosis of STUMP is not specific, postoperative pathological diagnosis is complicated, postoperative recurrence may occur in a short time after operation, emphasizing that regular and close follow-up is particularly important.

Key words: Uterine neoplasms, Leiomyoma, Hysteroscopy, Uterine myomectomy, Neoplasm recurrence, local, Hysterectomy