IMR Press / EJGO / Volume 37 / Issue 1 / DOI: 10.12892/ejgo2771.2016

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Case Report
Leiomyosarcoma of cervical stump following subtotal hysterectomy: a case report and review of literature
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1 Department of Obstetrics and Gynecology, Affiliated Hospital of Binzhou Medical College, Binzhou, China
2 Emergency Department, Affiliated Hospital of Binzhou Medical College, Binzhou, China
Eur. J. Gynaecol. Oncol. 2016, 37(1), 148–151; https://doi.org/10.12892/ejgo2771.2016
Published: 10 February 2016
Abstract

Background: Leiomyosarcoma that arises in the uterine cervix stump after subtotal hysterectomy is exceedingly rare. Only one case has been documented. The authors report an unusual case of leiomyosarcoma that arose in the cervix stump. Case presentation: A 46-year-old female presented with a one-month history of vaginal bleeding. Vaginal and ultrasonography examination revealed a mass in the cervix. The patient underwent radical resection of the cervix, bilateral salpingo-oophorectomy, and pelvic lymphadenectomy. Chemotherapy and radiotherapy was given after the operation. The patient suffered from severe menopausal symptoms and received hormone replacement therapy. She eventually committed suicide. Conclusion: Given the rarity of cases of leiomyosarcoma of cervical stump, its proper treatment remains to be determined. In dealing with benign uterus diseases, we should pay adequate attention in retaining the cervix. If the cervix is retained, patients require appropriate follow-up. The authors hope that this work will benefit the fields of gynecology and oncology.
Keywords
Leiomyosarcoma
Cervical stump
Subtotal hysterectomy
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