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Recurrent extraperitoneal low grade leiomyosarcoma with unusual localization

  • E.S. Guvendag Guven1,*,
  • S. Guven1
  • S. Esin1
  • A. Usubutun2
  • D. Akata3
  • A. Altmtas4
  • A. Ayhan1

1Department of Obstetrics and Gynecology, Turkey

2Department of Pathology, Turkey

3Department of Radiology Hacettepe University Faculty of Medicine, Ankara, Turkey

4Departrnent of Obstetrics and Gynecology, Cukurova University Faculty of Medicine, Adana, Turkey

DOI: 10.12892/ejgo200403381 Vol.25,Issue 3,May 2004 pp.381-383

Published: 10 May 2004

*Corresponding Author(s): E.S. Guvendag Guven E-mail:

Abstract

Primary extragenital leiomyosarcoma is rarely found in pelvic localization. A 33-year-old multiparous woman who had recurrent low-grade leiomyosarcoma presented with the complaints of dyspareunia, pelvic pain and gait disturbance. Her past medical history revealed she had been subjected to maximal excision of a paravaginal mass by using vaginal and suprapubic transverse incision three years before. The pathology report showed that she had leiomyoma. Three years after the initial surgery, a paravaginal fixed mass was observed at the initial tumor bed and removed by the perineal approach. The histological examination of the specimen revealed a low grade leiomyosarcoma. She was discharged from hospital without any complications.

Keywords

Low grade leiomyosarcoma; Extraperitoneal; Pelvis; Recurrence

Cite and Share

E.S. Guvendag Guven,S. Guven,S. Esin,A. Usubutun,D. Akata,A. Altmtas,A. Ayhan. Recurrent extraperitoneal low grade leiomyosarcoma with unusual localization. European Journal of Gynaecological Oncology. 2004. 25(3);381-383.

References

[1] Zhang G., Chen K.K., Manivel C., Fraley E.E.: "Sarcomas of the retroperitoneum and genitourinary tract". J. Ural., 1989, 141 (5), 1107.

[2] Fernandez-Trigo V., Sugarbaker P.H.: "Sarcomas involving the abdominal and pelvic cavity". Tumori, 1993, 30, 79 (2), 77.

[3] Rajani B., Smith T.A., Reith J.D., Goldblum J.R.: "Retroperitoneal leiomyosarcomas unassociated with the gastrointestinal tract: a clinicopathologic analysis of 17 cases". Mod. Pathol., 1999, 12 (1), 21.

[4] Cobanoglu 0., Zorlu C.G., Ergun Y., Kutluay L.: "Leiomyosarcoma of the vagina". Eur. J. Obstet. & Gynecol. Reprod. Biol., 1996, 70 (2), 205.

[5] Pirayesh A., Chee Y., Helliwell T.R., Hershman M.J., Leinster S.J., Fordham M.V., Poston G.J.: "The management of retroperitoneal soft tissue sarcoma: a single institution experience with a review of the literature" Eur. J. Surg. Oneal., 2001, 27 (5), 491.

[6] La Fianza A., Alberici E., Meloni G., P reda L., Campani R.: "Extraperitoneal pelvic leiomyosarcoma. MR findings in a case" Clin. lmaging., 2000, 24 (4), 224.

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