Uterine Myxoid Leiomyosarcoma
Pafumi Carlo, Maria Cristina Teodoro, Alfio D’Agati, Ilaria Marilli, Gianluca Leanza, Leanza Vito

Abstract
A 37 year old woman (para 1 spontaneous delivery) was admitted to our university hospital for menometrorrhagia. The case history showed that the patient had menometrorrhagia for six months; moreover, during the abdominal examination we found a mass (fig.1) occupying the hipogastric and mesogastric area. The tumefaction was hard and it reached the level of the umbilicus. On combined vaginal-abdominal examination a mass on the anterior wall and multiple myomata were felt; the uterus was found to have been enlarged to the size equivalent to 18 weeks pregnancy; adnexa regular were felt. During the surgery multiple myomas were found.The largest,10 cm diameter, was soft in consistence with a gelatinous structure. Total abdominal hysterectomy with preservation of adnexa was performed. Histopathological result gave evidence of myxoidleiomyosarcoma in the largest myoma, whereas the others fibroid nodes were without atypia.

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