Conservative management of uterine leiomyosarcoma: report of a failure.
BACKGROUND
Conservative management of uterine leiomyosarcoma has rarely been reported in the literature.


METHODS
A 26-year-old woman was diagnosed with uterine leiomyosarcoma after resection of a 11 cm uterine mass. Conservative management was proposed, demolitive surgery was not performed and the patient received four courses of chemotherapy. Four months after completion of chemotherapy the patient developed a local recurrence and died of disease 48 months after the primary diagnosis.


CONCLUSIONS
Reporting a failure after conservative management of uterine leiomyosarcoma is important in order to try to evaluate correct indications for fertility-sparing surgery.
Cormio
G
G
Department of Obstetrics and Gynaecology and Neonatology, University of Bari, Italy.
Loizzi
V
V
Carriero
C
C
Scardigno
D
D
Putignano
G
G
Selvaggi
L
L
D000328:Adult; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007890:Leiomyosarcoma / Q000188:drug therapy*; D014594:Uterine Neoplasms / Q000188:drug therapy*