Incidental leiomyosarcoma found at the time of cesarean hysterectomy for morbidly adherent placenta.

Publication/Presentation Date

5-1-2017

Abstract

BACKGROUND: Incidental leiomyosarcoma (LMS) is a rare diagnosis in pregnancy or in the puerperium. To our knowledge, this is the first case reported in the literature of incidental LMS after cesarean hysterectomy for morbidly adherent placenta.

CASE: We present a case of a cesarean hysterectomy performed for a suspected morbidly adherent placenta in a patient with three prior cesarean deliveries, an anterior placenta previa and a fundal fibroid. Subsequent pathology identified a LMS on final specimen. The patient declined bilateral oophorectomy and removal of her remaining cervix. No chemotherapy or radiation was given for her presumed stage IB disease.

CONCLUSION: An incidental finding of a LMS is infrequent; the risk of recurrence is > 50% even if the sarcoma is removed in its entirety.

Volume

20

First Page

127

Last Page

130

ISSN

2352-5789

Disciplines

Medicine and Health Sciences

PubMedID

28508030

Department(s)

Department of Obstetrics and Gynecology

Document Type

Article

Share

COinS