{"id":"https://openalex.org/W7148564120","doi":"https://doi.org/10.3390/diagnostics16071075","title":"Postmenopausal Enlargement of a Presumed Leiomyoma Revealing STUMP: A Diagnostic Pitfall with Important Clinical Implications\u2014A Case Report","display_name":"Postmenopausal Enlargement of a Presumed Leiomyoma Revealing STUMP: A Diagnostic Pitfall with Important Clinical Implications\u2014A Case Report","publication_year":2026,"publication_date":"2026-04-02","ids":{"openalex":"https://openalex.org/W7148564120","doi":"https://doi.org/10.3390/diagnostics16071075","pmid":"https://pubmed.ncbi.nlm.nih.gov/41975787"},"language":"en","primary_location":{"id":"doi:10.3390/diagnostics16071075","doi":"https://doi.org/10.3390/diagnostics16071075","is_oa":true,"landing_page_url":"https://doi.org/10.3390/diagnostics16071075","pdf_url":null,"source":{"id":"https://openalex.org/S4210172076","display_name":"Diagnostics","issn_l":"2075-4418","issn":["2075-4418"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diagnostics","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.3390/diagnostics16071075","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5056469924","display_name":"Nenad Rakic","orcid":"https://orcid.org/0009-0002-0253-691X","observed_orcids":["https://orcid.org/0009-0002-0253-691X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Nenad Rakic","raw_affiliation_strings":["Senta General Hospital, 24400 Senta, Serbia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Senta General Hospital, 24400 Senta, Serbia","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5123312646","display_name":"Stefan Ivanovic","orcid":"https://orcid.org/0009-0006-3269-3069","observed_orcids":["https://orcid.org/0009-0006-3269-3069"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Stefan Ivanovic","raw_affiliation_strings":["Obstetrics and Gynecology Clinic \u201cNarodni Front\u201d, 11000 Belgrade, Serbia"],"raw_orcid":"https://orcid.org/0009-0006-3269-3069","affiliations":[{"raw_affiliation_string":"Obstetrics and Gynecology Clinic \u201cNarodni Front\u201d, 11000 Belgrade, Serbia","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5121613531","display_name":"Milica Ivanovic","orcid":"https://orcid.org/0009-0000-3144-0779","observed_orcids":["https://orcid.org/0009-0000-3144-0779"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Milica Ivanovic","raw_affiliation_strings":["Obstetrics and Gynecology Clinic \u201cNarodni Front\u201d, 11000 Belgrade, Serbia"],"raw_orcid":"https://orcid.org/0009-0000-3144-0779","affiliations":[{"raw_affiliation_string":"Obstetrics and Gynecology Clinic \u201cNarodni Front\u201d, 11000 Belgrade, Serbia","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5082792227","display_name":"Lidija Tuli\u0107","orcid":"https://orcid.org/0000-0001-5706-0707","observed_orcids":["https://orcid.org/0000-0001-5706-0707"]},"institutions":[{"id":"https://openalex.org/I4068193","display_name":"University of Belgrade","ror":"https://ror.org/02qsmb048","country_code":"RS","type":"education","lineage":["https://openalex.org/I4068193"]},{"id":"https://openalex.org/I4210113171","display_name":"Univerzitetski Klini\u010dki Centar Srbije","ror":"https://ror.org/02122at02","country_code":"RS","type":"healthcare","lineage":["https://openalex.org/I4210113171"]}],"countries":["RS"],"is_corresponding":false,"raw_author_name":"Lidija Tulic","raw_affiliation_strings":["Clinic for Gynecology and Obstetrics, University Clinical Center of Serbia, 11000 Belgrade, Serbia","Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia"],"raw_orcid":"https://orcid.org/0000-0001-5706-0707","affiliations":[{"raw_affiliation_string":"Clinic for Gynecology and Obstetrics, University Clinical Center of Serbia, 11000 Belgrade, Serbia","institution_ids":["https://openalex.org/I4210113171"]},{"raw_affiliation_string":"Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia","institution_ids":["https://openalex.org/I4068193"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5125289580","display_name":"Milos Milincic","orcid":"https://orcid.org/0000-0002-1822-0314","observed_orcids":["https://orcid.org/0000-0002-1822-0314"]},"institutions":[{"id":"https://openalex.org/I4210113171","display_name":"Univerzitetski Klini\u010dki Centar Srbije","ror":"https://ror.org/02122at02","country_code":"RS","type":"healthcare","lineage":["https://openalex.org/I4210113171"]}],"countries":["RS"],"is_corresponding":false,"raw_author_name":"Milos Milincic","raw_affiliation_strings":["Clinic for Gynecology and Obstetrics, University Clinical Center of Serbia, 11000 Belgrade, Serbia"],"raw_orcid":"https://orcid.org/0000-0002-1822-0314","affiliations":[{"raw_affiliation_string":"Clinic for Gynecology and Obstetrics, University Clinical Center of Serbia, 11000 Belgrade, Serbia","institution_ids":["https://openalex.org/I4210113171"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5099792513","display_name":"Tatjana Dosev","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210113171","display_name":"Univerzitetski Klini\u010dki Centar Srbije","ror":"https://ror.org/02122at02","country_code":"RS","type":"healthcare","lineage":["https://openalex.org/I4210113171"]}],"countries":["RS"],"is_corresponding":false,"raw_author_name":"Tatjana Dosev","raw_affiliation_strings":["Clinic for Gynecology and Obstetrics, University Clinical Center of Serbia, 11000 Belgrade, Serbia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinic for Gynecology and Obstetrics, University Clinical Center of Serbia, 11000 Belgrade, Serbia","institution_ids":["https://openalex.org/I4210113171"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5086219930","display_name":"Nikola Jovic","orcid":"https://orcid.org/0000-0002-3269-1577","observed_orcids":["https://orcid.org/0000-0002-3269-1577"]},"institutions":[{"id":"https://openalex.org/I14245010","display_name":"University of Kragujevac","ror":"https://ror.org/04f7vj627","country_code":"RS","type":"education","lineage":["https://openalex.org/I14245010"]}],"countries":["RS"],"is_corresponding":false,"raw_author_name":"Nikola Jovic","raw_affiliation_strings":["Department of Gynecology and Obstetrics, University of Kragujevac, 34000 Kragujevac, Serbia","Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia"],"raw_orcid":"https://orcid.org/0000-0002-3269-1577","affiliations":[{"raw_affiliation_string":"Department of Gynecology and Obstetrics, University of Kragujevac, 34000 Kragujevac, Serbia","institution_ids":["https://openalex.org/I14245010"]},{"raw_affiliation_string":"Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia","institution_ids":["https://openalex.org/I14245010"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5086646762","display_name":"Neda S. Arsenijevic","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I14245010","display_name":"University of Kragujevac","ror":"https://ror.org/04f7vj627","country_code":"RS","type":"education","lineage":["https://openalex.org/I14245010"]}],"countries":["RS"],"is_corresponding":false,"raw_author_name":"Neda Arsenijevic","raw_affiliation_strings":["Department of Gynecology and Obstetrics, University of Kragujevac, 34000 Kragujevac, Serbia","Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Gynecology and Obstetrics, University of Kragujevac, 34000 Kragujevac, Serbia","institution_ids":["https://openalex.org/I14245010"]},{"raw_affiliation_string":"Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia","institution_ids":["https://openalex.org/I14245010"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5107971925","display_name":"Jovana Joksimovi\u0107","orcid":"https://orcid.org/0000-0001-9625-0626","observed_orcids":["https://orcid.org/0000-0001-9625-0626"]},"institutions":[{"id":"https://openalex.org/I14245010","display_name":"University of Kragujevac","ror":"https://ror.org/04f7vj627","country_code":"RS","type":"education","lineage":["https://openalex.org/I14245010"]}],"countries":["RS"],"is_corresponding":false,"raw_author_name":"Jovana Joksimovic Jovic","raw_affiliation_strings":["Department of Physiology, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia","Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia"],"raw_orcid":"https://orcid.org/0000-0001-9625-0626","affiliations":[{"raw_affiliation_string":"Department of Physiology, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia","institution_ids":["https://openalex.org/I14245010"]},{"raw_affiliation_string":"Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia","institution_ids":["https://openalex.org/I14245010"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5123312646"],"corresponding_institution_ids":[],"apc_list":{"value":2600,"currency":"CHF","value_usd":3137},"apc_paid":{"value":2600,"currency":"CHF","value_usd":3137},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.23408036,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"16","issue":"7","first_page":"1075","last_page":"1075"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10989","display_name":"Uterine Myomas and Treatments","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10989","display_name":"Uterine Myomas and Treatments","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11485","display_name":"Gastrointestinal Tumor Research and Treatment","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12866","display_name":"Urologic and reproductive health conditions","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/smooth-muscle-tumor-of-uncertain-malignant-potential","display_name":"smooth muscle tumor of uncertain malignant potential","score":0.9089999794960022},{"id":"https://openalex.org/keywords/stumps","display_name":"stumps","score":0.746999979019165},{"id":"https://openalex.org/keywords/uterine-fibroids","display_name":"uterine fibroids","score":0.9549999833106995},{"id":"https://openalex.org/keywords/uterine-leiomyosarcoma","display_name":"uterine leiomyosarcoma","score":0.921999990940094},{"id":"https://openalex.org/keywords/postmenopausal-uterine-bleeding","display_name":"postmenopausal uterine bleeding","score":0.8799999952316284},{"id":"https://openalex.org/keywords/tumor-expansion","display_name":"tumor enlargement","score":0.7620000243186951},{"id":"https://openalex.org/keywords/diagnostic-pitfalls","display_name":"diagnostic pitfalls","score":0.597000002861023},{"id":"https://openalex.org/keywords/hysterectomy","display_name":"hysterectomy","score":0.6110000014305115},{"id":"https://openalex.org/keywords/histopathological-assessment","display_name":"histopathological assessment","score":0.5690000057220459},{"id":"https://openalex.org/keywords/long-term-surveillance","display_name":"long-term surveillance","score":0.7540000081062317},{"id":"https://openalex.org/keywords/recurrence","display_name":"recurrence","score":0.4359999895095825}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8676000237464905},{"id":"https://openalex.org/C2777795800","wikidata":"https://www.wikidata.org/wiki/Q4667534","display_name":"Leiomyoma","level":2,"score":0.6837999820709229},{"id":"https://openalex.org/C2779494336","wikidata":"https://www.wikidata.org/wiki/Q550675","display_name":"Hysterectomy","level":2,"score":0.6398000121116638},{"id":"https://openalex.org/C2777532014","wikidata":"https://www.wikidata.org/wiki/Q1504713","display_name":"Leiomyosarcoma","level":2,"score":0.5956000089645386},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.5612000226974487},{"id":"https://openalex.org/C2911016000","wikidata":"https://www.wikidata.org/wiki/Q16872615","display_name":"Smooth Muscle Tumor","level":3,"score":0.5277000069618225},{"id":"https://openalex.org/C2777546739","wikidata":"https://www.wikidata.org/wiki/Q33525","display_name":"Carcinoma","level":2,"score":0.42410001158714294},{"id":"https://openalex.org/C2779399171","wikidata":"https://www.wikidata.org/wiki/Q1483951","display_name":"Malignancy","level":2,"score":0.37790000438690186},{"id":"https://openalex.org/C21613296","wikidata":"https://www.wikidata.org/wiki/Q4925405","display_name":"Coagulative necrosis","level":2,"score":0.3772999942302704},{"id":"https://openalex.org/C2780801072","wikidata":"https://www.wikidata.org/wiki/Q837512","display_name":"Differential diagnosis","level":2,"score":0.37459999322891235},{"id":"https://openalex.org/C2778938455","wikidata":"https://www.wikidata.org/wiki/Q5038170","display_name":"Carcinosarcoma","level":3,"score":0.3691999912261963},{"id":"https://openalex.org/C2911115442","wikidata":"https://www.wikidata.org/wiki/Q244913","display_name":"POSTMENOPAUSAL BLEEDING","level":4,"score":0.34360000491142273},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.33219999074935913},{"id":"https://openalex.org/C3019467916","wikidata":"https://www.wikidata.org/wiki/Q550675","display_name":"Abdominal hysterectomy","level":3,"score":0.32690000534057617},{"id":"https://openalex.org/C2909677699","wikidata":"https://www.wikidata.org/wiki/Q9612","display_name":"Corpus Uteri","level":4,"score":0.3174999952316284},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.31619998812675476},{"id":"https://openalex.org/C143753070","wikidata":"https://www.wikidata.org/wiki/Q162564","display_name":"Ultrasound","level":2,"score":0.3052000105381012},{"id":"https://openalex.org/C2779742232","wikidata":"https://www.wikidata.org/wiki/Q839508","display_name":"Endometrium","level":2,"score":0.304500013589859},{"id":"https://openalex.org/C2778562196","wikidata":"https://www.wikidata.org/wiki/Q177708","display_name":"Menopause","level":2,"score":0.30160000920295715},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.290800005197525},{"id":"https://openalex.org/C544855455","wikidata":"https://www.wikidata.org/wiki/Q1070952","display_name":"Histopathology","level":2,"score":0.2815000116825104},{"id":"https://openalex.org/C140779682","wikidata":"https://www.wikidata.org/wiki/Q210868","display_name":"Sampling (signal processing)","level":3,"score":0.2800999879837036},{"id":"https://openalex.org/C2777088508","wikidata":"https://www.wikidata.org/wiki/Q944777","display_name":"Endometrial cancer","level":3,"score":0.27630001306533813},{"id":"https://openalex.org/C3018603563","wikidata":"https://www.wikidata.org/wiki/Q177708","display_name":"Postmenopausal women","level":2,"score":0.27059999108314514},{"id":"https://openalex.org/C206111553","wikidata":"https://www.wikidata.org/wiki/Q3501532","display_name":"Echogenicity","level":3,"score":0.26919999718666077},{"id":"https://openalex.org/C2777687323","wikidata":"https://www.wikidata.org/wiki/Q1268495","display_name":"Metrorrhagia","level":5,"score":0.26339998841285706},{"id":"https://openalex.org/C2992686903","wikidata":"https://www.wikidata.org/wiki/Q208453","display_name":"Smooth muscle","level":2,"score":0.2538999915122986},{"id":"https://openalex.org/C2781105203","wikidata":"https://www.wikidata.org/wiki/Q1417240","display_name":"Benign tumor","level":2,"score":0.25200000405311584}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.3390/diagnostics16071075","doi":"https://doi.org/10.3390/diagnostics16071075","is_oa":true,"landing_page_url":"https://doi.org/10.3390/diagnostics16071075","pdf_url":null,"source":{"id":"https://openalex.org/S4210172076","display_name":"Diagnostics","issn_l":"2075-4418","issn":["2075-4418"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diagnostics","raw_type":"journal-article"},{"id":"pmid:41975787","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41975787","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diagnostics (Basel, Switzerland)","raw_type":"Case Reports"},{"id":"pmh:oai:doaj.org/article:f3964d0dc15645758b8ab005a919ad54","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/f3964d0dc15645758b8ab005a919ad54","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Diagnostics, Vol 16, Iss 7, p 1075 (2026)","raw_type":"article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13072909","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13072909/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Diagnostics (Basel)","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.3390/diagnostics16071075","doi":"https://doi.org/10.3390/diagnostics16071075","is_oa":true,"landing_page_url":"https://doi.org/10.3390/diagnostics16071075","pdf_url":null,"source":{"id":"https://openalex.org/S4210172076","display_name":"Diagnostics","issn_l":"2075-4418","issn":["2075-4418"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diagnostics","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.98580002784729,"id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[{"display_name":"Good health and well-being","score":0.5089104175567627,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":28,"referenced_works":["https://openalex.org/W1978250292","https://openalex.org/W2024019506","https://openalex.org/W2622844069","https://openalex.org/W2791244655","https://openalex.org/W2914458254","https://openalex.org/W3009313162","https://openalex.org/W3024440931","https://openalex.org/W3032403433","https://openalex.org/W3121294876","https://openalex.org/W3193348998","https://openalex.org/W4229334809","https://openalex.org/W4296162498","https://openalex.org/W4296248776","https://openalex.org/W4308703335","https://openalex.org/W4309693417","https://openalex.org/W4313897277","https://openalex.org/W4323864205","https://openalex.org/W4381051153","https://openalex.org/W4385344669","https://openalex.org/W4385420268","https://openalex.org/W4385762881","https://openalex.org/W4392963031","https://openalex.org/W4401118421","https://openalex.org/W4401270295","https://openalex.org/W4402278832","https://openalex.org/W4404159738","https://openalex.org/W4417312402","https://openalex.org/W7126048226"],"related_works":[],"abstract_inverted_index":{"Background":[0],"and":[1,27,51,91,126,147,185,206,217,260,285,297,303,309,321],"Clinical":[2,214],"Significance:":[3],"Uterine":[4],"smooth":[5,211],"muscle":[6,17,212],"tumors":[7,18],"range":[8],"from":[9],"benign":[10,169,205],"leiomyomas":[11],"to":[12,44,152,314],"highly":[13],"aggressive":[14],"leiomyosarcomas.":[15],"Smooth":[16],"of":[19,54,94,119,150,173,197,223,231,252,258,263,318],"uncertain":[20],"malignant":[21,209],"potential":[22],"(STUMP)":[23],"represent":[24],"an":[25,301],"intermediate":[26],"diagnostically":[28],"challenging":[29],"category":[30],"defined":[31],"by":[32],"borderline":[33,207],"or":[34,71,182,208],"discordant":[35],"histological":[36,240],"features.":[37],"Their":[38],"clinical":[39],"management":[40],"remains":[41,247,280],"complex":[42],"due":[43],"limited":[45],"possibilities":[46],"for":[47,76,161,167,269],"reliable":[48,250],"preoperative":[49,199],"differentiation":[50],"the":[52,122,195,224,248,267],"absence":[53],"clearly":[55],"established":[56],"surveillance":[57],"protocols.":[58],"The":[59,254],"situation":[60],"becomes":[61],"particularly":[62],"sensitive":[63],"in":[64,67,202,291],"postmenopausal":[65,84,124,228],"patients,":[66],"whom":[68],"tumor":[69,145,295],"growth":[70,93,296],"abnormal":[72,298],"bleeding":[73,90,299],"raises":[74],"concern":[75],"malignancy.":[77,120],"Case":[78],"Presentation:":[79],"We":[80],"report":[81],"a":[82,95,102,168,232,282,287],"66-year-old":[83],"woman":[85],"presenting":[86],"with":[87,132],"persistent":[88,288],"uterine":[89,210],"interval":[92],"previously":[96],"presumed":[97,233],"leiomyoma.":[98,170],"Transvaginal":[99],"ultrasound":[100],"demonstrated":[101],"heterogeneous":[103],"intramural":[104],"mass":[105],"measuring":[106],"approximately":[107],"5\u20137":[108],"cm,":[109],"while":[110],"endometrial":[111,218],"sampling":[112,219],"revealed":[113],"inactive,":[114],"atrophic":[115],"endometrium":[116],"without":[117],"evidence":[118],"Given":[121],"patient\u2019s":[123],"status":[125],"progressive":[127],"symptoms,":[128],"total":[129],"abdominal":[130],"hysterectomy":[131],"bilateral":[133],"adnexectomy":[134],"was":[135,175,189],"performed.":[136],"Histopathological":[137],"examination":[138],"identified":[139],"moderate":[140],"cytological":[141],"atypia,":[142],"focal":[143],"coagulative":[144],"necrosis,":[146],"mitotic":[148],"activity":[149],"up":[151],"five":[153],"mitoses":[154],"per":[155],"ten":[156],"high-power":[157],"fields,":[158],"findings":[159],"insufficient":[160],"leiomyosarcoma":[162],"but":[163],"exceeding":[164],"those":[165],"expected":[166],"A":[171],"diagnosis":[172,284],"STUMP":[174,259,279],"established.":[176],"Postoperative":[177],"staging":[178],"showed":[179],"no":[180],"residual":[181],"metastatic":[183],"disease,":[184],"structured":[186],"long-term":[187,310],"follow-up":[188,311],"initiated.":[190],"Discussion:":[191],"This":[192],"case":[193],"illustrates":[194],"limitations":[196],"current":[198],"diagnostic":[200],"tools":[201],"distinguishing":[203],"between":[204],"tumors.":[213],"presentation,":[215],"imaging,":[216],"were":[220],"not":[221],"predictive":[222],"final":[225],"diagnosis.":[226,253],"In":[227],"women,":[229],"enlargement":[230],"leiomyoma":[234],"should":[235],"prompt":[236],"careful":[237],"evaluation,":[238],"as":[239],"assessment":[241],"after":[242,273],"complete":[243],"surgical":[244,276],"removal":[245],"often":[246],"only":[249],"method":[251],"unpredictable":[255],"biological":[256],"behavior":[257],"reported":[261],"cases":[262],"late":[264],"recurrence":[265,320],"support":[266],"need":[268],"prolonged":[270],"surveillance,":[271],"even":[272],"apparently":[274],"adequate":[275],"treatment.":[277],"Conclusions:":[278],"primarily":[281],"postoperative":[283],"represents":[286],"gray":[289],"zone":[290],"gynecologic":[292],"oncology.":[293],"Postmenopausal":[294],"warrant":[300],"individualized":[302],"cautious":[304],"approach.":[305],"Careful":[306],"histopathological":[307],"evaluation":[308],"are":[312],"essential":[313],"ensure":[315],"early":[316],"detection":[317],"possible":[319],"optimal":[322],"patient":[323],"management.":[324]},"counts_by_year":[],"updated_date":"2026-10-01T08:54:57.152042","created_date":"2026-04-03T00:00:00"}