Cervical leiomyosarcoma

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Pelvic pain.

Patient Data

Age: 40 years
Gender: Female
ct

A 118×110×112 mm lobulated hetero enhancing soft tissue density mass with foci of coarse calcifications is noted between the posterior aspect of cervix uteri and rectum originated from the cervix. Fat plane between the mass and rectum is obliterated.

Lymphadenopathy with SAD of 12 mm is noted at right parailiac regions. 

Case Discussion

Huge pelvic mass most likely originated from the uterine cervix; pathology proven sarcoma (leiomyosarcoma subtype).

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