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Leiomyosarcoma occur at a younger age group than other uterine sarcomas, usually at an age 43 to 53 years.
Sarcomatous changes are reported to occur in 0.13-0.8 percent of benign uterine leiomyomas. They are intramural (2/3
circumscribed and cannot be shelled out from the surrounding myometrium.They loose whorled appearance. Apart from local
invasion, most commonly it spreads to lungs by blood stream. Patient presents with irregular bleeding and discharge. Sometimes
a portion of mass is passed per vaginum.Uterus is usually tender on palpation.
A 45 year old P2L2A1 k/c/o of hypothyroidism with 2 previous LSCS with paraumbilical hernia with multiple
fibroid uterus came with complaints of continuous bleeding per vaginum since 21 days. Patient was examined and investigated,
DD&C done, HPE report showed proliferative phase of endometrium. She was on progestogens & blood transfusion given.
Total abdominal hysterectomy with bilateral salpingoopherectomy was done and discharged on 11
POD.HPE REPORT showed
Leiomyosarcoma. After I month 20 days, she came with mass per vaginum. On examination she had metastatic growth in the
vagina and lung metastasis. At present the patient is undergoing radiotherapy.
High degree suspicion is essential for diagnosis of leiomyosarcoma as it is a uncommon tumour. CT scan with its
high cost not effective for diagnosis of leiomyosarcoma.
Staging laparatomy, Radiotherapy, Chemotherapy, depending on the patient requirement.
M. Padma pg final year at Mamata General Hospital, Khammam has presented posters and papers in national and state conference
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