title: Leiomyosarcoma of the vaginal wall causing difficulty in micturition: a case report.
abstract: A 52-year-old woman was admitted because of a vaginal-wall tumor adjacent to the external urethral orifice. The tumor had been causing disturbances in micturition for the past year. Magnetic resonance imaging and computed tomography images indicated a 6 x 3 cm solid mass in the anterior vaginal wall. The tumor was enucleated surgically through a median longitudinal incision of the anterior vaginal wall. Micturitional disturbances were rectified after surgery. Histologically, the tumor was a mixture of a high-cellularity area with a mitosis rate of 7 per 30 high-power fields, and a less cellular area without mitosis. Immunohistochemical staining was performed for both areas. The prognostic implications of the tumor are discussed.
authors.affiliation: Department of Urology, Osaka Medical College, Takatsuki, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Isurugi
authors.forename: F
authors.initials: F
authors.lastname: Hasegawa
authors.forename: N
authors.initials: N
authors.lastname: Shibahara
authors.forename: A
authors.initials: A
authors.lastname: Tsutsumi
mesh_terms: D005260:Female; D006801:Humans; D007890:Leiomyosarcoma / Q000150:complications* / Q000473:pathology / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D011379:Prognosis; D014057:Tomography, X-Ray Computed; D014555:Urination Disorders / Q000209:etiology* / Q000473:pathology; D014625:Vaginal Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery