Leiomyosarcoma of the ovary
Dixit, S.; Singhal, S.; Baboo, H.A.; Vyas, R.K.; Neema, J.P.; Murthy, R.; Sooryanaraya, U.
Journal of Postgraduate Medicine 39(3): 151-153
1993
ISSN/ISBN: 0022-3859 PMID: 8051647 Document Number: 410385
A diagnosis of leiomyosarcoma of ovary was made in a 60 year old female presenting with generalised weakness and abdominal lump. On clinical examination, a hard, big mass with some cystic areas was found occupying the pelvic cavity. Chest X-ray revealed presence of metastases. Deranged renal function and structure due to extrinsic pressure were evident on pyelography and USG. USG also suggested the ovarian origin of the mass. Fine needle aspiration biopsy was suggestive of leiomyosarcoma. Laparotomy was carried out for excision of tumor along with bilateral salpingo-oophorectomy and hysterectomy. Post-operatively renal functions normalized. A course of radiotherapy was given. At 6 months' follow-up, abdomino-pelvic sonography was normal but lung metastases were found to be enlarged. The patient was asked to follow up for chemotherapy but did not come. She died 18 months after treatment, as revealed through correspondence.