Combined laparoscopic and radical vaginal treatment of primary vaginal leiomyosarcoma in a patient with unicornuate uterus and pelvic kidney.

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Publication Details

Output type: Journal article

Author list: Zakashansky, Peiretti, Mahdavi, Chun, Nezhat, Manson, Wilbur

Publisher: Elsevier

Publication year: 2014

Journal: Journal of Minimally Invasive Gynecology (1553-4650)

Volume number: 14

Issue number: 4

Start page: 518

End page: 20

Number of pages: -497

ISSN: 1553-4650

eISSN: 1553-4669

Languages: English-Great Britain (EN-GB)

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Open access status: closed

Abstract

We report a case of primary vaginal leiomyosarcoma occurring in a patient with a unicornuate uterus and pelvic kidney. The patient was treated with radical partial vaginectomy, unilateral groin dissection, total laparoscopic hysterectomy, and left pelvic laparoscopic lymphadenectomy, followed by adjuvant chemotherapy. Twenty-five months after her original procedure, the patient is alive and free of disease. The exact association between müllerian anomalies and primary malignancies of the genitourinary tract is unclear. It is nonetheless important to be aware of the close embryonic association between the genital and urinary tracts when evaluating such patients and choosing the appropriate surgical and therapeutic approach.

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