Recurrent extraperitoneal low grade leiomyosarcoma with unusual localization

Eur J Gynaecol Oncol. 2004;25(3):381-3.


Primary extragenital leiomyosarcoma is rarely found in pelvic localization. A 33-year-old multiparous woman who had recurrent low-grade leiomyosarcoma presented with the complaints of dyspareunia, pelvic pain and gait disturbance. Her past medical history revealed she had been subjected to maximal excision of a paravaginal mass by using vaginal and suprapubic transverse incision three years before. The pathology report showed that she had leiomyoma. Three years after the initial surgery, a paravaginal fixed mass was observed at the initial tumor bed and removed by the perineal approach. The histological examination of the specimen revealed a low grade leiomyosarcoma. She was discharged from hospital without any complications.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Diagnosis, Differential
  • Female
  • Humans
  • Leiomyosarcoma / diagnosis*
  • Leiomyosarcoma / diagnostic imaging
  • Leiomyosarcoma / pathology
  • Leiomyosarcoma / surgery
  • Neoplasm Recurrence, Local / diagnosis*
  • Neoplasm Recurrence, Local / diagnostic imaging
  • Neoplasm Recurrence, Local / secondary
  • Neoplasm Recurrence, Local / surgery
  • Peritoneal Neoplasms / diagnosis*
  • Peritoneal Neoplasms / diagnostic imaging
  • Peritoneal Neoplasms / secondary
  • Peritoneal Neoplasms / surgery
  • Tomography, X-Ray Computed
  • Vaginal Neoplasms / diagnosis*
  • Vaginal Neoplasms / diagnostic imaging
  • Vaginal Neoplasms / secondary
  • Vaginal Neoplasms / surgery