Open AccessLeiomyosarcoma with rhabdoid differentiation arising from leiomyoma: A rare entity
Author(s) -
Pooja Chauhan,
Kavita Mardi,
Ganga Rawat,
Nidhi Raina
Publication year - 2017
Publication title -
archives of medicine and health sciences
Language(s) - English
Resource type - Journals
eISSN - 2321-6085
pISSN - 2321-4848
DOI - 10.4103/amhs.amhs_81_17
Subject(s) - medicine , leiomyosarcoma , leiomyoma , histopathology , abdominal hysterectomy , hysterectomy , lower abdominal pain , complication , radiology , abdominal pain , uterus , uterine leiomyoma , uterine fibroids , pathology , surgery
Leiomyosarcoma (LMS) arising in a leiomyoma (LM) is a rare event. Still rare is rhabdomyoblastic differentiation in leiomyosacoma. We present such a case of LMS uterus with rhabdomyoblastic differentiation arising in an LM in a 60-year-old menopausal woman who presented with lower abdominal pain. An ultrasound scan was suggestive of uterine fibroid. Total abdominal hysterectomy was performed for presumed LM. Grossly, fibroid had variegated appearance along with focal areas having whorling pattern and histopathology showed leiomyosarcomatous change in a benign LM with rhabdomyoblastic differentiation. This is a rare complication of LM and precise diagnosis of LMS is essential since it has an aggressive behavior