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Published on: January 17, 2019
Conservative management of uterine leiomyosarcoma: report of a failure
G Cormio1, V Loizzi, C Carriero
1Department of Obstetrics and Gynaecology and Neonatology, University of Bari, Italy.
Background:
Conservative management of uterine leiomyosarcoma has rarely been reported in the literature.
Case Report:
A 26-year-old woman was diagnosed with uterine leiomyosarcoma after resection of a 11 cm uterine mass. Conservative management was proposed, demolitive surgery was not performed and the patient received four courses of chemotherapy. Four months after completion of chemotherapy the patient developed a local recurrence and died of disease 48 months after the primary diagnosis.
Conclusion:
Reporting a failure after conservative management of uterine leiomyosarcoma is important in order to try to evaluate correct indications for fertility-sparing surgery.