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Uterine sarcomas
Authors:Moinfar Farid  Azodi Masood  Tavassoli Fattaneh A
Affiliation:Department of Pathology, Graz University School of Medicine, Austria.
Abstract:A wide variety of sarcomas occur in the uterus but two subtypes - leiomyosarcoma and endometrial stromal sarcoma - account for a majority of those more routinely encountered. Using the 2003 World Health Organization classification, this review focuses on six uterine sarcomas: endometrial stromal sarcoma, undifferentiated endometrial sarcoma, leiomyosarcoma, rhabomyosarcoma, angiosarcoma and liposarcoma. The epidemiological, clinical, pathological and molecular features are presented along with therapeutic approaches. Familiarity with molecular aspects of these tumors and application of novel technologies in their assessment should be encouraged as they may provide alternate therapies resulting in improved survival for the patient. Clinical information necessary for accurate diagnosis of these lesions is emphasised. A multidisciplinary approach to management of patients with uterine sarcomas is essential for optimal management.
Keywords:Endometrial stromal sarcoma  ESS  leiomyosarcoma  LMS  undifferentiated endometrial sarcoma  UES  rhabdomyosarcoma  angiosarcoma  liposarcoma  tamoxifen  JAZF1/JJAZ1 fusion  CD44 V3  frequency of allelic loss  FAL
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