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Primary vaginal leiomyosarcoma in pregnancy.
Kemal Behzatoğlu1, Burak Bahadir, Gülcan Inhan
1Department of Pathology, SSK Istanbul Educational Hospital, Istanbul, Turkey. kbehzatoglu@hotmail.com
Gynecologic Oncology
|December 17, 2003
Summary
This case study reports the first instance of vaginal leiomyosarcoma during pregnancy. Surgical resection led to a successful outcome for both mother and infant, with no recurrence observed.
Area of Science:
- Gynecologic Oncology
- Surgical Pathology
Background:
- Vaginal leiomyosarcoma is a rare malignancy, comprising approximately 2% of all vaginal cancers.
- It is the most frequent type of uterine sarcoma in adult women.
Observation:
- A 21-year-old pregnant woman at 39 weeks gestation presented with a pedunculated vaginal mass.
- The mass was surgically excised, and histopathology confirmed it as a grade 2 leiomyosarcoma.
Findings:
- The patient delivered a healthy baby two weeks post-surgery.
- No evidence of tumor recurrence was noted during a 28-month follow-up period.
Implications:
- This case highlights the possibility of vaginal leiomyosarcoma during pregnancy.
- Surgical excision remains the primary treatment modality for vaginal leiomyosarcoma.