Abstract
Uterine sarcomas are rare malignant tumors arising from the smooth muscles of the wall of uterus It is a type of soft tissue sarcoma .sarcomas in general are malignant tumors that arise from the connective tissue that supports and surrounds various organs in body. Uterine leiomyosarcomas present usually as AUB or pain abdomen or pelvic mass. other symptoms may vary according to size and location of tumor like pressure symptoms, bladder bowel symptoms .there are no definite diagnostic tests for pre-operative diagnosis of uterine sarcomas and majority are diagnosed on histopathological examination postoperatively. thus clinicians should be aware of the possibility of uterine sarcoma in any woman presenting with pelvic mass especially leiomyoma.
References
1. Baird DD, Dunson DB, Hill MC, et al. High cumulative incidence of uterine leiomyoma in black and white women: ultrasound evidence. Am J Obstet Gynecol 2003; 188:100.
2. Brooks SE, Zhan M, Cote T, Baquet CR. Surveillance, epidemiology, and end results analysis of 2677 cases of uterine sarcoma 1989-1999. Gynecol Oncol 2004; 93:204.
3. Leibsohn S, d'Ablaing G, Mishell DR Jr, Schlaerth JB. Leiomyosarcoma in a series of hysterectomies performed for presumed uterine leiomyomas. Am J Obstet Gynecol 1990; 162:968.
4. Parker WH, Fu YS, Berek JS. Uterine sarcoma in patients operated on for presumed leiomyoma and rapidly growing leiomyoma. Obstet Gynecol 1994; 83:414.
5. Raine-Bennett T, Tucker LY, Zaritsky E, et al. Occult Uterine Sarcoma and Leiomyosarcoma: Incidence of and Survival Associated With Morcellation. Obstet Gynecol 2016; 127:29.
6. Lieng M, Berner E, Busund B. Risk of morcellation of uterine leiomyosarcomas in laparoscopic supracervical hysterectomy and laparoscopic myomectomy, a retrospective trial including 4791 women. J Minim Invasive Gynecol 2015; 22:410.
7. Mahnert N, Morgan D, Campbell D, et al. Unexpected gynecologic malignancy diagnosed after hysterectomy performed for benign indications. Obstet Gynecol 2015; 125:397.
8. Kho KA, Lin K, Hechanova M, Richardson DL. Risk of Occult Uterine Sarcoma in Women Undergoing Hysterectomy for Benign Indications. Obstet Gynecol 2016; 127:468.
Corresponding Author
Naik Meena MD, MRCOG
Assistant Professor, Department of Obstetrics and Gynaecology,
CCM Medical College, Durg, Chhatisgarh