Uterine Leiomyosarcoma: A Rare Case Report

Abstract

Malignant change in a leiomyoma or uterine fibroid is known as leiomyosarcoma.It is a rare uterine malignancy and most of the patients lack symptoms or present with rapidly growing pelvic mass.This case report presents a 38yr old P1D1 women who came to opd with complaint of heavy menstrual bleeding since 2 months and mass per abdomen which increased in size over 3 months. On evaluation-usg s/o uterine mass of size 14*14cm- ? endometrial neoplastic etiology and CECT s/o-large abdominopelvic lesion seen, with uterus not separately seen from lesion and multiple necrotic areas noted .Patient was posted for elective total abdominal hysterectomy and bilateral salphingoophorectomy and histopathological finding of the specimen revealed leiomyosarcoma.Uterine sarcoma are rare due to which they are not suitable for screening .Its diagnosis is done by histopathological examination and surgery is the only treatment.Early diagnosis and complete surgical clearance gives the most promising chance of improved survival