Disseminating myxoid leiomyosarcoma of the uterus.
METHODS
A 60-year-old female, para 1, menopausal for last 12 years was admitted with complaints of distention and pain abdomen for last 2 months. There was no history of postmenopausal bleeding. On abdominal examination there was a vague mass in lower abdomen reaching upto umbilicus. On vaginal examination, uterus was eight weeks size and a vague mass was felt around it through all fornices. On exploratory laparotomy uterus was studded with multiple friable hemorrhagic growths perforating from fundus and filling the peritoneal cavity.


METHODS
Total abdominal hysterectomy with bilateral salpingo-oophorectomy with debulking of tumour and omentectomy was performed followed by postoperative adjuvant radiotherapy.


CONCLUSIONS
Histopathology report confirmed it to be uterine myxoid leiomyosarcoma which is an extremely rare variant of uterine sarcoma with poor prognosis exhibiting malignant biologic behaviour.
Malhotra
M
M
Department of Obstetrics and Gynaecology, Maulana Azad Medical College and associated Lok Nayak Hospital, 110002 New Delhi, India.
Sharma
J B
JB
Wadhwa
L
L
Singh
S
S
D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D007890:Leiomyosarcoma / Q000532:radiotherapy / Q000556:secondary / Q000601:surgery*; D008875:Middle Aged; D009852:Omentum / Q000473:pathology; D010534:Peritoneal Neoplasms / Q000532:radiotherapy / Q000556:secondary / Q000601:surgery*; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*