Abstract

Sarcomatous change in uterine fibroid is termed leiomyosarcoma. The tumor originates from smooth muscle cells and is rare, accounting for 2 to 5% of all uterine malignancies. The said patient had the history of irregular bleeding, but not typical menorrhagia, which is the usual presentation in this tumor. A 40 year old, P4+0 women of North Indian origin, was admitted with huge polypoidal fungating mass with bosselated surface and variegated mass protruding from introitus consistently. It was 12 ×10 cm in size with fundal cuping and cervical rim around the mass, which indicates inversion of the uterus. Total abdominal hysterectomy with bilateral salpingoophorectomy and bladder repair was done via abdomino-perineal route and the histopathology confirmed the diagnosis of leiomyosarcoma. Because of their rarity, uterine sarcomas are not recommended for routine screening. Surgery is the only treatment modality of leiomyosarcoma and prognosis depends upon the stage of the cancer. Key words: Leiomyosarcoma, inversion, hysterectomy.