Article Data

  • Views 1156
  • Dowloads 127

Case Reports

Open Access

Primary ovarian leiomyosarcoma: A case report

  • E. Kuscu1
  • S. Erkanli2,*,
  • A. Haberal1
  • T. Ergin1
  • H. Ozdemir3
  • B. Demirhan3

1Department of Obstetrics & Gynecology, Baskent University School of Medicine, Ankara, Turkey

2Department of Obstetrics & Gynecology, Baskent University School of Medicine, Adana, Turkey

3Department c)fPathology, Baskent University School of Medicine, Ankara, Turkey

DOI: 10.12892/ejgo200501120 Vol.26,Issue 1,January 2005 pp.120-122

Published: 10 January 2005

*Corresponding Author(s): S. Erkanli E-mail:

Abstract

Primary ovarian leiomyosarcomas are extremely rare tumors that comprise less than 0.1 % of all ovarian malignancies. We present a case of 62-year-old postmenopausal woman with a slightly enlarged right ovary and a Color Doppler sonography resistance index (RI) measuring 0.54. The patient, after being managed with surgery alone, is alive after 14 months without any evidence of disease. This is an unusual case in that primary ovarian leiomyosarcoma was diagnosed in the setting of a slightly enlarged irregular postmenopausal ovary with a concomitant intermediate RI value on color flow Doppler evaluation. A high index of suspicion may help prevent delay in the diagnosis of this rare neoplasm.

Keywords

Primary ovarian leiomyosarcoma; Color flow Doppler

Cite and Share

E. Kuscu,S. Erkanli,A. Haberal,T. Ergin,H. Ozdemir,B. Demirhan. Primary ovarian leiomyosarcoma: A case report. European Journal of Gynaecological Oncology. 2005. 26(1);120-122.

References

[1] Bruce Patsner.: "Ovarian Sarcomas". In: Piver M.S. (ed.): "Handbook of Gynecologic Oncology", 2rd ed., New York, Little, Brown and Co., 1995, 49.

[2] Cortes J., Cuartero M.L., Rosello J.J., Torrecabota J., Yarnoz M.C., Llompart M.: "Ovarian pure leiomyosarcoma: Case report". Eur. J. Gynecol. Oneal., 1987, 8, 19.

[3] Fleischer A.C., Cullinan J.A., Kepple D.M.: "Color Doppler sonography of pelvic masses". In: Fleischer A.C., Manning F.A., Jeanty P., Romero R. (eds.), "Sonography in Obstetrics & Gynecology: Principles & Practice". 5th ed., New Jersey, Appleton & Lange, 1996, 791.

[4] DiSaia P.J., Creasman W.T.: "The adnexal mass and early ovarian cancer". In: DiSaia P.J., Creasman W.T. (eds.), "Clinical Gynecologic Oncology", 6th ed. St. Louis, Mosby Inc., 2002, 272.

[5] Talerman A.: "Mesenchymal tumors and malignant lymphoma of the ovary". In: Blaustein A. (ed.): "Pathology of the female genital tract", New York, Springer-Verlag, 1982, 561.

[6] Walts A.E., Lichstenstein I.: "Primary leiomyosarcoma associated with serous cystadenosarcoma of ovary". Gynecol. Oneal., 1977, 5, 81.

[7] Scully R.E., Bonfiglio T.A., Kurman R.J. et al.: "Histological typing of female genital tract tumours". In: "World Health Organization Histological Classification of Tumours", 2nd ed., New York, Springer-Verlag, 1994.

[8] Clement P.B.: "Pure mesenchymal tumors". In: Clement P.B., Young R.H. (eds.), "Tumors and tumor-like lesions of the corpus and cervix". New York, Churchill Livingstone, 1993, 265.

[9] Bell S.W., Kempson R.L., Hendrickson M.R.: "Problematic uterine smooth muscle neoplasms: a clinicopathologic study of 213 cases". Am. J. Surg. Pathol., 1994, 18, 535.

[10] Burns B., Curry R.H., Bell M.E.A.: "Morphologic features of prognostic significance in uterine smooth muscle tumors, A review of eighty-four cases". Am. J. Obstet. Gynecol., 1979, 135.

[11] Friedman H.D., Mazur M.T.: "Primary ovarian leiomyosarcoma: An immunohistochemical and ultrastructural study". Arch. Pathol. Lab. Med., 1991, 115, 941.

[12] Lastarria D, Sachdev R.K., Babury R.A., Yu H.M., Nuovo G.J.: "Immunohistochemical analysis for desmin in normal and neoplastic ovarian stromal tissue". Arch. Pathol. Lab. Med., 1990, 114, 502.

[13] Monk B.J., Nieberg R., Berek J.S.: "Primary leiomyosarcoma of the ovary in a perimenarchal female". Gynecol. Oncol., 1993, 48, 389.

Submission Turnaround Time

Top