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uterine leiomyoma

Uterine leiomyoma. Macroscopy. Uterine leiomyoma under the mucosa Uterine leiomyoma under the mucosa - tumor cut Multiple uterine leiomyomas Uterine leiomyoma Uterine leiomyomas. Submucosal uterine leiomyoma Parietal uterine leiomyoma Parietal uterine leiomyoma Parietal uterine leiomyoma Subserosal uterine leiomyoma Subserosal uterine leiomyoma Subserosal uterine leiomyoma Myxoid degeneration of an uterine leiomyoma Necrobiotic subserosal uterine leiomyoma Necrobiotic subserosal uterine leiomyoma Necrobiotic subserosal uterine leiomyoma Necrobiotic subserosal uterine leiomyoma Necrotic subserosal uterine leiomyoma Necrotic subserosal uterine leiomyoma

Uterine leiomyoma occurs in about 20-30% of women over the age of 30, and is the most frequent benign tumor in gynecology.

Cytogenetics

Cytogenetic analysis of uterine leiomyomata (UL) shows that about 40% of these benign tumors have simple, clonal chromosomal rearrangements.

- near-diploid karyotypes with del(1)(p11p36) (16320247)

  • often associated with other aberrations, particularly loss of chromosomes 19 (19-) and/or 22 (22-)
  • cellular UL
  • hypercellularity and nuclear atypia

- 1q42 rearrangement (FH, fumarate hydratase) (15334541, 12419594)

- 10q22

  • t(10;17) disrupts the histone acetyltransferase MORF (10q22) (monocytic leukemia zinc finger protein-related factor or MYST4). (15313893)

LOH and deletions

- del(1)(p11p36) (16320247)

- 1q42 LOH and 1q42 deletions (FH, fumarate hydratase) (15334541, 12419594)

- 7p15 LOH (15605361)

- 7p22

- 7q LOH (9%) (10484989, 9869453)

- 12q14 LOH (HMGA2)
- 15q26 LOH (15605361)

Molecular biology

- allelotyping: 9869453
- transcriptional profiling: 15101043

Variants

- cellular uterine leiomyoma

References

- Wang T, Zhang X, Obijuru L, Laser J, Aris V, Lee P, Mittal K, Soteropoulos P, Wei JJ. A micro-RNA signature associated with race, tumor size, and target gene activity in human uterine leiomyomas. Genes Chromosomes Cancer. 2007 Apr;46(4):336-47. PMID: 17243163

- Quade BJ, Wang TY, Sornberger K, Dal Cin P, Mutter GL, Morton CC. Molecular pathogenesis of uterine smooth muscle tumors from transcriptional profiling. Genes Chromosomes Cancer. 2004 Jun;40(2):97-108. PMID: 15101043

- Dal Cin P, Morton CC. 1q42 approximately q44 is rarely cytogenetically involved in sporadic uterine leiomyomata. Cancer Genet Cytogenet. 2002 Oct 1;138(1):92-3. PMID: 12419594