title: Leiomyosarcoma of the vulva: a case report.
abstract: BACKGROUND
  Leiomyosarcoma of the vulva is a rare gynecologic malignancy, comprising approximately 1% of vulvar cancers.
  
  
  METHODS
  A 36-year-old woman was referred for a slowly growing painless vulvar mass that was initially thought to be a Bartholin's duct cyst but was cancerous upon biopsy. A modified radical vulvectomy was performed, and pathology revealed a grade 1 leiomyosarcoma. Thirteen months later, the tumor had not recurred.
  
  
  CONCLUSIONS
  Vulvar cancer must be considered in patients with a suspected Bartholin duct cyst that demonstrates atypical features. A biopsy should be obtained if the mass appears firm or solid on palpation, is ulcerated or presents in a slightly different location from the usual area of the Bartholin gland.
authors.affiliation: Department of Obstetrics and Gynecology, Roy J and Lucille A Carver College of Medicine, University of Iowa Hospitals and Clinics, Iowa City 52242, USA.
authors.forename: Summer
authors.initials: S
authors.lastname: Dewdney
authors.forename: Colleen M
authors.initials: CM
authors.lastname: Kennedy
authors.forename: Rudolph P
authors.initials: RP
authors.lastname: Galask
mesh_terms: D000328:Adult; D001472:Bartholin's Glands / Q000473:pathology; D003560:Cysts / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007890:Leiomyosarcoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D009364:Neoplasm Recurrence, Local; D016896:Treatment Outcome; D014846:Vulvar Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery