title: Primary leiomyosarcoma of the vagina. Case report and literature review.
abstract: BACKGROUND
  The vast majority of primary vaginal cancers are squamous cell carcinoma. The leiomyosarcoma of the vagina is extremely rare neoplasm. It comprising 2% to 3% of vaginal malignancies. Only 77 cases have been reported up to date in Anglo-Saxon literature .
  
  
  OBJECTIVE
  Report of a new case
  
  
  METHODS
  We report a case of a patient 43 years old, single and presented a tumor of 7 cm to the detriment of the posterior wall of the vagina. The treatment consisted of a radical colpohysterectomy followed by postoperative radiotherapy. After 40 months, she is still alive without local or distant recurrence.
  
  
  CONCLUSIONS
  This is a rare observation. The surgery is the basic treatment, the poor prognosis of these tumors remains linked especially to the histological grade.
authors.affiliation: Department -B- of Obstetrics and gynaecology CMNT-Tunis, Tunisia.
authors.forename: Fethi
authors.initials: F
authors.lastname: Ben Amara
authors.forename: Mohamed
authors.initials: M
authors.lastname: Jaouadi
authors.forename: Hassen
authors.initials: H
authors.lastname: Jouini
authors.forename: Maher
authors.initials: M
authors.lastname: Nasr
authors.forename: Monia
authors.initials: M
authors.lastname: Malek
authors.forename: Khaled
authors.initials: K
authors.lastname: Neji
authors.forename: Hedi
authors.initials: H
authors.lastname: Reziga
authors.forename: Khaled
authors.initials: K
authors.lastname: Ben Romdhane
mesh_terms: D000328:Adult; D001706:Biopsy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy; D007890:Leiomyosarcoma / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery; D011182:Postoperative Care; D011379:Prognosis; D011879:Radiotherapy Dosage; D018714:Radiotherapy, Adjuvant; D013997:Time Factors; D014621:Vagina / Q000473:pathology; D014625:Vaginal Neoplasms / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery