ISSN 2756-3324
African Journal of Medicine and Surgery ISSN 2756-3324 Vol. 10 (3), pp. 001-003, March, 2023. Available online at www.internationalscholarsjournals.org © International Scholars Journals
Case Report
Chronic Uterine Inversion: An Uncommon Presentation of Uterine Leiomyosarcoma
Rekha Sachan1*, Pooja Gupta1 and ML Patel2
1Department of Obstetrics and Gynaecology, CSM Medical University, Lucknow, India.
2Department of Medicine, CSM Medical University, Lucknow, India.
Accepted 22 November, 2022
Abstract
Sarcomatous change in uterine fibroid is termed leiomyosarcoma. The tumor originates from smooth muscle cells and is rare, accounting for 2 to 5% of all uterine malignancies. The said patient had the history of irregular bleeding, but not typical menorrhagia, which is the usual presentation in this tumor. A 40 year old, P4+0 women of North Indian origin, was admitted with huge polypoidal fungating mass with bosselated surface and variegated mass protruding from introitus consistently. It was 12 ×10 cm in size with fundal cuping and cervical rim around the mass, which indicates inversion of the uterus. Total abdominal hysterectomy with bilateral salpingoophorectomy and bladder repair was done via abdomino-perineal route and the histopathology confirmed the diagnosis of leiomyosarcoma. Because of their rarity, uterine sarcomas are not recommended for routine screening. Surgery is the only treatment modality of leiomyosarcoma and prognosis depends upon the stage of the cancer.
Key words: Leiomyosarcoma, inversion, hysterectomy.