Rokitansky-Kuster-Hauser syndrome and leiomyoma uteri

A large leiomyoma found in a patient with Rokitansky-Kuster-Hauser syndrome 8 years following McIndoe's procedure for the creation of an artificial vagina emphasizes the need for continued long-term gynecologic care of these patients who are theoretically at average risk for the development of myometrial or ovarian neoplasia. The fact that with the syndrome leiomyomata have been reported only three times previously and ovarian malignancy never suggests that these patients are often lost to long-term followup.