title: Giant leiomyosarcoma: A case report.
abstract: BACKGROUND
  Uterine leiomyosarcoma is a rare uterine malignancy. Most of the patients lack symptoms or present with a rapidly enlarging pelvic mass.
  
  
  METHODS
  We report on a very large leiomyosarcoma in a woman presenting with a 3 months history of rapidly growing adominal mass and fatigue. Laparotomy was performed and diagnosis was confirmed by pathologic and histologic analysis. Patient refused chemotherapy after surgery and died from recurrence at 4th postoperative month.
  
  
  CONCLUSIONS
  Uterine leiomyosarcomas may follow a rapid clinical course with a doubling time of four weeks. There is no reliable method to distinguish uterine sarcoma from benign leiomyomas preoperatively.
  
  
  CONCLUSIONS
  This case represents the largest leiomyosarcoma reported in the literature.
authors.affiliation: Division of Gynecologic Oncology, Department of Gynecology and Obstetrics, Kocaeli University Medical School, Kocaeli, Turkey.
authors.forename: Taylan
authors.initials: T
authors.lastname: Senol
authors.affiliation: Division of Gynecologic Oncology, Department of Gynecology and Obstetrics, Istanbul University Cerrahpasa Medical School, Istanbul, Turkey. Electronic address: ilkerkahramanoglu@hotmail.com.
authors.forename: Ilker
authors.initials: I
authors.lastname: Kahramanoglu
authors.affiliation: Department of Pathology, Kocaeli University Medical School, Kocaeli, Turkey.
authors.forename: Bahar
authors.initials: B
authors.lastname: Muezzinoglu
authors.affiliation: Division of Gynecologic Oncology, Department of Gynecology and Obstetrics, Kocaeli University Medical School, Kocaeli, Turkey.
authors.forename: Izzet
authors.initials: I
authors.lastname: Yucesoy
keywords: Leiomyoma; Leiomyosarcoma; Size