Pleomorphic leiomyosarcoma - vagina

Case contributed by Dr Ammar Haouimi

Presentation

Vaginal mass on gynecological exam.

Patient Data

Age: 55 years
Gender: Female

The MRI sequences demonstrate a well-defined ovoid right vaginal soft tissue mass (40 x 37 x 35 mm) centered on the Bartholin gland, displacing the puborectalis laterally and anorectal region medially. It elicits a slight high signal on T1 and TI fat sat, intermediate to low signal on T2 with restricted diffusion and a homogeneous enhancement postcontrast sequences.

Note ectopic malrotated left kidney.

Pathology

Conclusion (pathological report): 

Morphological appearance and immunochemistry study of a vaginal pleomorphic leiomyosarcoma. 

Case Discussion

MRI features of a vaginal tumor.

The patient underwent a complete resection of the tumor with histopathological exam and immunochemistry study which were in favor of a vaginal pleomorphic leiomyosarcoma.

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