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Case Reports
. 2003 Dec;91(3):636-42.
doi: 10.1016/j.ygyno.2003.08.037.

Leiomyosarcoma of the cervix

William Irvin  1 , Ali Presley, Willie Andersen, Peyton Taylor, Laurel Rice
Affiliations
Case Reports

Leiomyosarcoma of the cervix

William Irvin et al. Gynecol Oncol. 2003 Dec.

Abstract

Background: Epithelioid leiomyosarcoma arising from the uterine cervix is extremely rare, with only three cases reported in the world literature. We present the case report of a 14-cm epithelioid leiomyosarcoma arising from the uterine cervix.

Case: A 47-year-old female presented with a 1-year history of worsening menorrhagia and was found to have a large pelvic mass extending into and filling the upper vagina. She underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy, revealing a 14 x 10 x 9 cm cervical epithelioid leiomyosarcoma.

Conclusion: Although exceedingly rare, leiomyosarcoma is able to arise primarily from the uterine cervix. Given its extreme rarity, management of cervical LMS must be extrapolated from the currently accepted management for uterine LMS.

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