Myxoid Leiomyosarcoma of the Uterus in a Fertile Woman
Journal Title: Global Journal of Medical and Clinical Case Reports - Year 2017, Vol 4, Issue 1
Abstract
A 37 year old woman (G1P1 spontaneous delivery) was admitted to our university hospital for menometrorrhagia. The case history showed the patient had menometrorrhagia for six months; moreover, during the abdominal examination we found a mass occupying the hypogastric and mesogastric area. The consistence was hard and the mass reached the level of the umbilicus. The combined vaginal-abdominal examination confirmed the presence of the mass on the anterior wall and, in addition, multiple myomata were felt; the uterus was found enlarged in size (equivalent to 18 pregnancy weeks); both ovaries and Fallopian tubes were regular. During surgery multiple myomata were visualized. The largest, 10 centimeter diameter, was soft in consistence with a gelatinous structure. Total abdominal hysterectomy with preservation of adnexa was performed. Histopathological result gave evidence of myxoid leiomyosarcoma for the largest myoma, whereas the other nodes were benign.
Authors and Affiliations
Vito Leanza, Alfio D’Agati, Gianluca Leanza, Carlo Pafumi, Mayada Chammas, Antonio Carbonaro
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