![]() Her appetite was normal and there was no loss of weight. There were no bladder or bowel complaints. There was no inter-menstrual bleeding or bleeding on straining. She was having regular cycles till one year back but was having excessive bleeding with passage of clots every month. Turing in bed also was difficult as the lump had to be moved first before she could turn in the bed could not sleep while lying flat, had to sleep propped up only. The swelling had become so huge ( Figure 1) that it was difficult for her to lie down and move around. The swelling was slow to grow initially but had been enlarging rapidly for the previous two months. Case reportģ7 years old unmarried lady reported with complaints of swelling of abdomen for the last six to eight months. We present one such rare case of spindle cell sarcoma of uterus which had attained a huge size but had favorable outcome. Spindle cell sarcomas are not only very rare but their behaviour is also varied. Spindle cell variant of RMS is a very rare morphologic subtype of embryonal RMS and usually occurs in the paratesticular region in children and has favorable outcome, 5 can occur very rarely in uterus. This is categorized as embryonal, alveolar and pleomorphic kinds. Rhabdomyosarcoma (RMS) 4 is sometimes seen as a component of malignant mixed epithelial and mesenchymal tumors. 3 Malignant mesenchymal tumours may be found in the uterus though very rarely leiomyosarcoma and endometrial sarcoma are the common mesenchymal tumours. Uterine sarcomas are a heterologous group of rare malignancies and they account for one tenth of uterine malignancies. Uterine sarcomas are relatively uncommon 1, 2 with leiomyosarcoma as the most common histologic type. Leiomyosarcomas are the malignant tumors arising from the myometrium. They can grow to any size and the symptoms depending on their size, number or location. Uterine fibroids also known as leiomyomas are commonest benign tumors of the uterus arising from the myometrium. ![]()
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