Primary Vaginal Leiomyosarcoma: A Rare Case Reported in Uruguay

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Author Info

Valeria Tolosa Villarreal Sebastián Ben Marcela Segredo Noelia Hernández Diego Greif Fernanda Nozar

Corresponding Author

Valeria Tolosa Villarreal
Gynecology and Obstetrics Clinic A, Pereira Rossell Hospital, School of Medicine, University of the Republic, Montevideo, Uruguay

A B S T R A C T

Introduction: Primary vaginal sarcomas are very rare tumors and represent approximately 3% of vaginal cancers, and two-thirds are leiomyosarcomas. On this occasion we report the clinical case of a 35-year-old patient assisted by the Gynecology Oncology team of the Gynecology Clinic A, conducting a review of the bibliography to contribute to the management of this entity. Clinical Case: 35-year-old patient with a diagnosis of primary high-grade vaginal leiomyosarcoma, presented with a vaginal mass, treatment was performed in two stages with tumorectomy and subsequently radical C1 hysterectomy, achieving complete resection of the mass, receiving radiation therapy, brachytherapy, and adjuvant chemotherapy. Thirty-one months after treatment, the patient is asymptomatic, with no elements of recurrence. Conclusion: The treatment of these tumors is not well established. Complete surgical excision with wide resection margins is recommended. The use of radiotherapy and adjuvant chemotherapy must be individualized.

Article Info

Article Type

Case Report

Publication history

Received: Wed 25, Sep 2024
Accepted: Thu 17, Oct 2024
Published: Tue 29, Oct 2024

Copyright

© 2023 Valeria Tolosa Villarreal. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.CROGR.2024.01.02