alexa Uterine Myxoid Leiomyosarcoma Associated with Multiple
ISSN: 2161-0932

Gynecology & Obstetrics
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Case Report

Uterine Myxoid Leiomyosarcoma Associated with Multiple Myomas in a Fertile Woman: A Case Report

Vito Leanza*, Maria Cristina Teodoro, Alfio D’Agati, Ilaria Marilli, Gianluca Leanza, Giuseppe Zarbo and Carlo Pafumi
Department of Surgery, Catania University, Italy
Corresponding Author : Vito Leanza
Department of Surgery
Catania University, Italy
E-mail: [email protected]
Received July 03, 2012; Accepted August 24, 2012; Published August 27, 2012
Citation: Leanza V, Teodoro MC, Agati AD, Marilli I, Leanza G, et al. (2012) Uterine Myxoid Leiomyosarcoma Associated with Multiple Myomas in a Fertile Woman: A Case Report. Gynecol Obstet 2:128. doi: 10.4172/2161-0932.1000128
Copyright: © 2012 Leanza V, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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A 37 year old woman 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 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 (Figure 1). Histopathological result gave evidence of myxoid leiomyosarcoma in the largest myoma, whereas the others fibroid nodes were without atypia.

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