title: Conservative management of uterine leiomyosarcoma: report of a failure.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynaecology and Neonatology, University of Bari, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Cormio
authors.forename: V
authors.initials: V
authors.lastname: Loizzi
authors.forename: C
authors.initials: C
authors.lastname: Carriero
authors.forename: D
authors.initials: D
authors.lastname: Scardigno
authors.forename: G
authors.initials: G
authors.lastname: Putignano
authors.forename: L
authors.initials: L
authors.lastname: Selvaggi
mesh_terms: D000328:Adult; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007890:Leiomyosarcoma / Q000188:drug therapy*; D014594:Uterine Neoplasms / Q000188:drug therapy*