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Updated: Jan 21, 2026
05:21
Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
413
Metastatic uterine leiomyosarcoma at 26 weeks gestation
Naomi Eastwood-Wilshere1, Jessica Turner2, Niara Oliveira3
1Medicine, Queensland Health, Ipswich, Queensland, Australia.
BMJ Case Reports
|August 7, 2019
Summary
Advanced uterine leiomyosarcoma (ULMS) in pregnancy is rare. This case report details a metastatic ULMS diagnosis at 26 weeks gestation, discussing management principles for invasive cancers during pregnancy.
Area of Science:
- Gynecologic Oncology
- Reproductive Medicine
- Maternal-Fetal Medicine
Background:
- Uterine leiomyosarcoma (ULMS) is a rare and aggressive uterine malignancy.
- ULMS during pregnancy is exceptionally uncommon, posing unique diagnostic and therapeutic challenges.
Observation:
- A case of advanced, metastatic ULMS was identified at 26 weeks gestation.
- The presentation involved a highly malignant neoplasm in a pregnant patient.
Findings:
- The report details the clinical course and diagnostic considerations for ULMS in pregnancy.
- Management strategies for invasive cancer co-occurring with pregnancy are discussed.
Implications:
- This case highlights the importance of considering rare malignancies in pregnant patients.
- Understanding the principles of managing invasive cancer in pregnancy is crucial for improved patient outcomes.
- Further research into the optimal management of ULMS during gestation is warranted.
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