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- Tesshin Ban, Yoshimasa Kubota, Daikoh Okubo, Takayuki Murase, Takuya Takahama, Shun Sasoh, Satoshi Tanida, Tomoaki Ando, Makoto Nakamura, and Takashi Joh.
- Department of Gastroenterology and Hepatology, Gamagori City Hospital, Japan.
- Intern. Med. 2023 May 1; 62 (9): 128712921287-1292.
AbstractA transoral endoscopic ultrasound-guided fine-needle aspiration biopsy (EUS-FNAB) is a well-established tissue-sampling method. However, performing a transanal EUS-FNAB remains challenging. Uterine morcellation has emerged as a minimally invasive approach for benign tumor treatment. However, uterine myomas are heterogeneous and include malignant and indeterminate malignant cells. We herein report a rare case of intrapelvic tumor diagnosed by a transanal EUS-FNAB as a recurrence of smooth muscle tumors of uncertain malignant potential following uterine morcellation. Physicians should be aware that a previous uterine myoma resected under morcellation has the possibility of intra-abdominal recurrence. A transanal EUS-FNAB is a practical option for making a pathological diagnosis.
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