Primary ovarian leiomyosarcoma in a woman with uterovaginal prolapse.

Journal: BMJ Case Reports
Treatment Used: Surgery and Chemotherapy
Number of Patients: 1
Published:
MediFind Summary

Summary: This case report describes a woman in her 40s with primary ovarian leiomyosarcoma and uterovaginal prolapse.

Conclusion: A woman with primary ovarian leiomyosarcoma and uterovaginal prolapse was treated with surgery and chemotherapy.

Abstract

Primary ovarian leiomyosarcoma is a very uncommon and aggressive neoplasm. We presented a right-sided ovarian leiomyosarcoma in a woman in her late 40s. No case has been described in the literature till now of primary ovarian leiomyosarcoma in a woman with uterovaginal prolapse. A total abdominal hysterectomy with bilateral adnexectomy, metastasectomy, excision of large tumour deposit over small intestine followed by resection with ileo-ileal anastomosis and omentectomy was performed. The diagnosis was made based on morphology along with immunohistochemistry. The patient was given adjuvant chemotherapy during postoperative period. Due to rarity, there is a dearth of information on the clinical behaviour and best treatment options for these tumours. This case report highlighted the importance of clinical awareness and aimed to provide a baseline to guide clinical practice as well as future research.

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