Metastatic Leiomyosarcoma Uteri Mistaken for Leiomyoma in a Middle-Aged Woman
Umar AG*, Are AO, Nnadi DC and Ango IG
Corresponding Author: Amina Gambo Umar, Department of Obstetrics and Gynaecology, Usmanu Danfodiyo University Sokoto, Nigeria
Accepted: June 17, 2021 Available Online: June 21, 2021
Citation: Umar AG, Are AO, Nnadi DC & Ango IG. (2021) Metastatic Leiomyosarcoma Uteri Mistaken for Leiomyoma in a Middle-Aged Woman. J Womens Health Safety Res, 5(S2): 02.
Copyrights: ©2021 Umar AG, Are AO, Nnadi DC & Ango IG. 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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Background: Leiomyosarcoma (LMS), is a relatively rare malignant tumor of smooth muscle origin that pose diagnostic dilemma with no standard established treatment. It is characterized by an aggressive behavior, with high rates of local recurrence and metastasis, leading to an early death.

Case report: Mrs. C. N. O, was a 55-year-old Primary school teacher who was a P2+1 A2 whose LCB was 22 years and her last pregnancy was 12 years prior to presentation. She presented with abdominal swelling of 11 months’ duration following a total abdominal hysterectomy with bilateral salpingo-oophorectomy on account of symptomatic uterine fibroid. There was associated worsening difficulty in breathing. Her respiratory rate was 24 cycles/minute with dullness on the left lower zone. The liver was enlarged and measured about 5 centimeters below the right coastal margin with additional abdominal mass of about 18 weeks’ uterine size. She was managed for metastatic leiomyosarcoma but could not make it and died while being prepared for palliative care.

Conclusion: Leiomyosarcoma uteri is a highly rare condition with high mortality rate when it occur just as in this index patient. There is need for clinicians to be vigilant in evaluating cases of leiomyomas to avoid missing such cases to minimize mortalities.

Keywords: Leiomyosarcoma, Women