title: Myxoid leiomyosarcoma of the uterus with subsequent pregnancy and delivery.
abstract: BACKGROUND
  Myxoid leiomyosarcoma of the uterus is an extremely rare neoplasm. In young women with this disease, fertility should be considered in the treatment protocol.
  
  
  METHODS
  A 20-year-old woman presented with a huge pelvic mass originating from the uterine wall and showing a histopathology of myxoid leiomyosarcoma. Five and one-half years after laparotomy, the recurrent tumor was found and removed. Two years after the second operation, she became pregnant, and delivered a healthy baby by cesarean section. Multiple recurrent masses were evident and removed at cesarean section. She is alive and well without evidence of recurrence 1 year after delivery.
  
  
  CONCLUSIONS
  The best treatment for this tumor is not established. In young women with a desire to bear children, the management is more controversial.
authors.affiliation: Department of Obstetrics and Gynecology, University of Occupational and Environmental Health, Kitakyushu, Japan.
authors.forename: Seiji
authors.initials: S
authors.lastname: Kagami
authors.forename: Masamichi
authors.initials: M
authors.lastname: Kashimura
authors.forename: Naoyuki
authors.initials: N
authors.lastname: Toki
authors.forename: Yukiko
authors.initials: Y
authors.lastname: Katuhata
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007890:Leiomyosarcoma / Q000473:pathology / Q000601:surgery*; D009364:Neoplasm Recurrence, Local / Q000473:pathology / Q000601:surgery; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery*