UTERINE MESENCHYMAL TUMORS IN DUHOK-IRAQ. A PRACTICAL PATHOLOGICAL STUDY
Abstract
https://doi.org/10.31386/dmj.2023.17.2.8
Background: Although malignant uterine mesenchymal tumors are relatively uncommon, their definite diagnosis is crucial for therapeutic as well as prognostic purposes.
Objectives: To study the frequency of uterine mesenchymal tumors in Duhok-Iraq and to highlight the impact of immunohistochemically on warning cases.
Materials and Methods: In this cross-sectional study, 3931 uterine mesenchymal tumors were received in the Departments of Histopathology in Vin Private Laboratories and Central General Laboratories in Duhok-Iraq, over a consecutive period of 13 years (January 2009 to December 2021). Cases were examined morphologically. Equivocal cases were subjected to immunohistochemical workup via UltraVision LP Large Volume Detection System & HRP Polymer (Ready-To-Use) from Thermo Fisher Scientific and using the automated immunostaining technique.
Results: Benign tumors (97.4%) overwhelmed the malignant cases (1%). The remaining 1.6% comprised the smooth muscle tumors of undetermined malignant potential (SUMPT).
Conclusions: Diagnosis and categorization of most benign and malignant uterine mesenchymal tumors is an acumen nuclear histology. However, in unequivocal cases, high-grade cancers and mixed neoplasms, immunohistochemistry is needful and applicable due to its easy methodology. Yet some cases remain doubtful and require advanced techniques for definite diagnosis.
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