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From the Department of Obstetrics and Gynecology at the University of California, San Diego School of Medicine, La Jolla, Calif 92037.
Abstract
Uterine hemangiopericytoma is reported in a 19-year-old woman. A review of the literature reveals that this vascular uterine tumor is rarely discovered before surgery. There is no characteristic gross appearance and the final diagnosis must be made histologically. The presence or degree of malignancy is not always evident. Current management is controversial. Most authors favor total abdominal hysterectomy, reserving local excision for the young patient who wants more children. Because local invasion, distant metastases and recurrence have been observed, others recommend more radical surgery. The value of radiotherapy is doubtful.
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