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Abstract
Differential diagnosis of primary leiomyosarcoma of the vagina/omentum, “benign metastatic leiomyoma” with transformation of one node into leiomyosarcoma, primary peritoneal leiomyosarcoma can present certain difficulties. Due to the rarity of peritoneal leiomyomatosis with malig-nant transformation in postmenopausal women, as well as the rarity of vaginal leiomyosarcomas, we present a clinical case of this kind of differ-ential diagnosis based on a pathohistological examination of material obtained during surgery in a woman with a giant pelvic mass.
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