Abstract
Myxoid leiomyosarcoma of the uterus is a variant of leiomyosarcoma characterized by a large amount of myxomatous stroma and low mitotic counts with minimal cellular atypia but with subsequent malignant course. These tumors have a striking myxoid appearance and exhibit highly malignant behavior despite their low mitotic index. We report a first case of myxoid leiomyosarcoma of the uterus occurring in a young child with brief review of literatures.
References
1. Clement PB, Scully RE. Coppleson M, editor. Pathology of uterine sarcoma. Gynecologic oncology. 1992. 2nd ed. London: Churchill Livingstone;803–825.
2. King ME, Dickersin GR, Scully RE. Myxoid leiomyosarcoma of the uterus. A report of six cases. Am J Surg Pathol. 1982. 6:589–598.
3. Vigone A, Giana M, Surico D, Leutner M, Surico N. Massive myxoid leiomyosarcoma of the uterus. Int J Gynecol Cancer. 2005. 15:564–567.
4. Kagami S, Kashimura M, Toki N, Katuhata Y. Myxoid leiomyosarcoma of the uterus with subsequent pregnancy and delivery. Gynecol Oncol. 2002. 85:538–542.
5. Ng WK, Lui PC, Ma L. Peritoneal washing cytology findings of disseminated myxoid leiomyosarcoma of uterus: report of a case with emphasis on possible differential diagnosis. Diagn Cytopathol. 2002. 27:47–52.
6. Kunzel KE, Mills NZ, Muderspach LI, d'Ablaing G 3rd. Myxoid leiomyosarcoma of the uterus. Gynecol Oncol. 1993. 48:277–280.
7. Schneider D, Halperin R, Segal M, Maymon R, Bukovsky I. Myxoid leiomyosarcoma of the uterus with unusual malignant histologic pattern: a case report. Gynecol Oncol. 1995. 59:156–158.
8. Fraga M, Prieto O, Garcia-Caballero T, Beiras A, Forteza J. Myxoid leiomyosarcoma of the uterine cervix. Histopathology. 1994. 25:381–384.
9. Pyeon DJ, Won CY, Lee JE, Lee JY, Lee SA, Kim CW, et al. A case of myxoid leiomyosarcoma of uterus. Korean J Obstet Gynecol. 1996. 39:2444–2447.
10. Botsis D, Koliopoulos C, Kondi-Pafitis A, Creatsas G. Myxoid leiomyosarcoma of the uterus in a patient receiving tamoxifen therapy: a case report. Int J Gynecol Pathol. 2006. 25:173–175.
11. Fukunishi H, Yukimura N, Takeuchi S, Kitazawa S. Uterine myxoid leiomyosarcoma and CYVADIC-etoposide therapy. Int J Gynaecol Obstet. 1994. 46:321–324.
12. Lack EE. Leiomyosarcomas in childhood: a clinical and pathologic study of 10 cases. Pediatr Pathol. 1986. 6:181–197.
13. Shmookler BM, Lauer DH. Retroperitoneal leiomyosarcoma. A clinicopathologic analysis of 36 cases. Am J Surg Pathol. 1983. 7:269–280.
14. Giuntoli RL 2nd, Metzinger DS, DiMarco CS, Cha SS, Sloan JA, Keeney GL, et al. Retrospective review of 208 patients with leiomyosarcoma of the uterus: prognostic indicators, surgical management, and adjuvant therapy. Gynecol Oncol. 2003. 89:460–469.
15. Lammers C, Fowler J. Leiomyosarcoma of the uterus in a 15-year-old with acute abdominal pain. J Adolesc Health. 1998. 23:303–306.