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BMJ Case Reports 2013; doi:10.1136/bcr-2013-008616
  • CASE REPORT

The uncovered story of leiomyosarcoma of the cervix: a rare case report and review of literature

  1. Nisha Marwah2
  1. 1Department of Radiation Oncology, Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
  2. 2Department of Pathology, Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
  1. Correspondence to Dr Anil Kumar Dhull, anildhull{at}sify.com

Summary

Sarcomas of the uterine cervix are uncommon tumours arising from uterine cervix constituting less than 1% of all cervical malignancies. Leiomyosarcoma of uterine cervix is extremely rare. Combined modality of treatment including surgery, radiotherapy and chemotherapy should be used in these patients to achieve better survival. We present a rare case of leiomyosarcoma of uterine cervix presented with bleeding per vaginam and bulky cervical mass. Simple hysterectomy was carried out and operative findings revealed a large growth arising from the anterior cervical lip. Diagnosis in this case was made by subjecting the resected specimen to histopathological and immunohistochemical analysis. Postoperatively patient received adjuvant combination chemotherapy (VAC) followed by radiotherapy. Patient is asymptomatic without any evidence of tumour recurrence after 6 months of follow-up.

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