Published June 1, 2012 | Version v1
Journal article Open

Primary ovarian leiomyosarcoma

  • 1. 2nd Department of Gynaecology, St. Savvas Anticancer-Oncologic Hospital, Athens, Greece
  • 2. Department of Obstetrics and Gynaecology, Amfissa General Hospital, Amfissa, Greece
  • 3. Department of Pathology, St. Savvas Anticancer-Oncologic Hospital, Athens, Greece

Description

Background: Primary ovarian leiomyosarcoma is an extremely rare subtype of ovarian sarcomas. It most commonly occurs in postmenopausal women and has unfavorable prognosis.
Case: The patient, a 58-year-old, postmenopausal woman presented with a complaint of abdominal pain. Preoperative examination revealed an intra-abdominal mass 25x17x14 cm in the right adnexa. She underwent bilateral salpingo-oophorectomy, total omentectomy, appendectomy and bilateral pelvic lymphadenectomy. The histopathology revealed leiomyosarcoma of the right ovary stage Ia. She did not receive any postoperative adjuvant therapy. Follow up 21 months after initial surgery, showed no evidence of recurrence.
Conclusion: Additional studies are needed in order to understand more about nature, clinical behavior and treatment of this very rare tumor.

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Journal article: https://www.ncbi.nlm.nih.gov/pubmed/22873115 (URL)