Uterine Leiomyosarcoma: a Management Dilemma

Uterine leiomyosarcoma (ULMS) are rare and aggressive smooth muscle tumours accounting for approximately 1% of patients with uterine cancer.ULMS are neoplasm's of high metastatic potential.Diagnosis of leiomyosarcoma is often made after hysterectomy as symptoms and signs are nonspecific and imaging methods fail to differentiate it from benign conditions.Trans (abdominal) hysterectomy was performed in a 38 year old female with a provisional diagnosis of fibroid uterus.Histopathology showed leiomyosarcoma stage 3A.Patient refused for chemotherapy and developed recurrence in 6 months and succumbed after 3 months of recurrence.ULMS continue to provide a major challenge for treatment of the primary presentation and for relapses.