Leiomyosarcoma of the rectum mimicking primary ovarian carcinoma: A case report

Yung Taek Ouh, Jin-Hwa Hong, Kyung Jin Min, Kyeong A. So, Jae Kwan Lee

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Leiomyosarcoma of the rectum is a very rare mesenchymal tumor. Because of its rarity, its diagnosis, treatment, and pathology often present challenges to the clinician. The characteristics of this tumor, such as its anatomical location, heterogeneous solid features on imaging, and nonspecific lower gastrointestinal tract symptoms, can be confused with those of primary ovarian carcinoma. Here, we report the case of a 52-year-old-woman presenting with a low abdominal mass that was later pathologically confirmed to be a rectal leiomyosarcoma. The findings of preoperative ultrasonography, pelvic magnetic resonance imaging, and abdominopelvic computed tomography were suggestive of a malignant pelvic mass, most likely a primary ovarian carcinoma. The patient underwent explorative laparotomy, and intraoperative frozen examination revealed a sarcoma originating from the gastrointestinal tract. Low anterior resection and supracervical hysterectomy with bilateral salpingo-oophorectomy were performed. The patient's postoperative course was uneventful, and adjuvant chemotherapy is currently being administered.

Original languageEnglish
Article number27
JournalJournal of Ovarian Research
Volume6
Issue number1
DOIs
Publication statusPublished - 2013 Apr 17

Fingerprint

Leiomyosarcoma
Rectum
Lower Gastrointestinal Tract
Carcinoma
Ovariectomy
Adjuvant Chemotherapy
Hysterectomy
Sarcoma
Laparotomy
Gastrointestinal Tract
Ultrasonography
Neoplasms
Tomography
Magnetic Resonance Imaging
Pathology
Therapeutics

Keywords

  • Leiomyosarcoma
  • Ovarian carcinoma
  • Rectum

ASJC Scopus subject areas

  • Oncology
  • Obstetrics and Gynaecology

Cite this

Leiomyosarcoma of the rectum mimicking primary ovarian carcinoma : A case report. / Ouh, Yung Taek; Hong, Jin-Hwa; Min, Kyung Jin; So, Kyeong A.; Lee, Jae Kwan.

In: Journal of Ovarian Research, Vol. 6, No. 1, 27, 17.04.2013.

Research output: Contribution to journalArticle

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