Uterine leiomyosarcoma

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Abdominal pain and palpable mass on physical exam.

Patient Data

Age: 55 years
Gender: Female
CT

A 28 mm enhancing mass is noted at left side of para-aortic regions.
The uterus is enlarged. A 160×110 mm hetero enhancing mass is noted at uterine fundus.
There is no sign of extra uterus extension or local invasion to adjacent structures.

Pathology

The patient underwent surgical resection and histopathology evaluation confirms leiomyosarcoma.

Case Discussion

Uterine leiomyosarcomas are malignant uterine tumors that arise from the myometrium. The uterus is the commonest location for a leiomyosarcoma.

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