Abstract
Background: Leiomyosarcomas are extremely rare primary ovarian smooth muscle tumors accounting for <1% of ovarian malignancies. Case: A 30-year-old woman presented with complaints of pain and heaviness in the right iliac region. Abdominal examination revealed a pelvic mass, 18 weeks of gestation in size, with restricted mobility, palpable in the right iliac region. Ultrasonography (USG) revealed a large mass of 14.3×13.2×12.5 cm, occupying the whole of the pelvis just superficial to fundus, but not arising from the uterus. Magnetic resonance imaging (MRI) revealed a large oval well-defined mass in the right lower abdomen and pelvis. An excised right ovarian mass measuring 15×12×11 cm was sent for histopathologic examination. The cut surface of the mass was variegated, with areas of hemorrhage and necrosis. Results: On histopathologic examination, a diagnosis of leiomyosarcoma was made on morphologic and immunohistochemical grounds. Based on the diagnosis, the patient was given chemotherapy and has been followed-up since then. As of this writing, she is doing well. Conclusions: This case of ovarian leiomyosarcoma in a 30-year-old woman is extremely rare. In such cases, postoperative radiotherapy and chemotherapy for large tumor volumes may help control local disease and avoid metastatic recurrences. (J GYNECOL SURG 30:297)
Published Version
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