Malignant fibrous histiocytoma of the pelvis

A case of a 33-year-old Caucasian female with a malignant fibrous histiocytoma arising in the left ischiorectal fossa just under the left posterolateral vaginal wall is presented. Transvaginal simple excision of the tumor was followed by 5000 rad external beam whole pelvis irradiation and 6000 rad to the tumor bed. The patient is without evidence of disease 24 months after therapy and maintains normal vaginal function.