MYOMETRIAL LEIOMYOSARCOMA
CASE REPORT
Keywords:
LEIOMYOSARCOMA, MYOMETRIUM, YOUNG WOMAN, MALIGNANT NEOPLASM, ENDOVAGINAL ULTRASOUNDAbstract
INTRODUCTION: Leiomyosarcomas are reported between 3% to 7% of all uterine cancers, usually occurring in women over 40 years of age. Furthermore, there are case reports in the literature on young women and even children. CASE REPORT: The present report addresses a severe and rare case of myometrial leiomyosarcoma in a 32-year-old woman. DISCUSSION: Tumor staging is the single most important prognostic factor. If we focus on the differentiation between leiomyoma and leiomyosarcoma through two-dimensional and color Doppler ultrasound, it is demonstrated that the detection of hypervascularization combined with other ultrasound findings suspicious of uterine smooth muscle tumors requires an additional diagnostic evaluation before starting treatment. CONCLUSION: The importance of early diagnosis is noted and it is emphasized that the investigation and follow-up of uterine nodular images, following the recommendation of FEBRASGO, is directly related to the improvement of the prognosis in this population.
