title: Leiomyosarcoma of the uterus: a clinicopathological report of two cases and review of literature.
abstract: Leiomyosarcomas of the uterus are highly malignant tumours that are rare and represent slightly over 1% of all uterine malignancies. The clinical presentation is fairly constant and includes abnormal vaginal bleeding, pains or both. Only two cases (0.6%) out of 337 uterine malignancies seen over a period of 15 years in Ile-Ife had histological diagnosis of leiomyosarcoma. Both patients were postmenopausal, aged 49 years and presented in advanced disease stage. Two months after surgery, one of the patients died from disease progression while the other defaulted while on chemotherapy. Leiomyosarcoma of the uterus though rare in our environment, when it occurs, presents with advanced stage of the disease. Poor compliance coupled with high cost of treatment portends poor prognosis thus making it rapidly fatal.
authors.affiliation: Department of Morbid Anatomy and Forensic Medicine, Obafemi Awolowo University, Ile-Ife, Nigeria. gomoniyi_esan@yahoo.com
authors.forename: G O
authors.initials: GO
authors.lastname: Omoniyi-Esan
authors.forename: K B
authors.initials: KB
authors.lastname: Badmos
authors.forename: A B
authors.initials: AB
authors.lastname: Adeyemi
authors.forename: O
authors.initials: O
authors.lastname: Rotimi
mesh_terms: D000970:Antineoplastic Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D007890:Leiomyosarcoma / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D008875:Middle Aged; D010052:Ovariectomy / Q000379:methods; D014594:Uterine Neoplasms / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery
chemical_list: D000970:Antineoplastic Agents