Recurrent retroperitoneal myxoid liposarcoma during pregnancy: a case report and literature review

Retroperitoneal liposarcoma in pregnancy is rare, and only a few cases of primary liposarcoma during pregnancy have been reported. To the best of our knowledge, there is no published report of retroperitoneal liposarcoma that was previously treated and recurred during pregnancy. Our patient was diagnosed with a pelvic mass on ultrasound at 12-weeks' gestation. The mass was found to be a retroperitonal, well-differentiated myxoid liposarcoma and was radically excised at the time of cesarean delivery at 36-weeks' gestation. However, the tumor recurred soon and progressed rapidly, and the patient eventually died of the disease. A thorough sonographic investigation and timing of surgery may be critical in terms of finding a surgically resectable lesion and leading to a more favorable prognosis.     

Uterine lipoma and coincidental cervical cancer: a case report

Pure lipoma of the uterus is a rare clinical event, and only a few cases have been reported in the literature. Clinical symptoms and physical signs are similar to those found in leiomyomas. The histogenesis of these lesions is still unclear. However, adipose metaplasia of stromal cells or smooth muscle cells of leiomyoma were accepted hypothesis that explain histogenesis of lipomas of uterus. We report the case of a 55-year-old woman with pure uterine lipoma and coincidental cancer of uterine cervix.     

Case report of vulvar liposarcoma

Vulvar liposarcoma is very rare with only 11 cases reported since 1966. Primary vulvar sarcomas constitute 1-2% of all vulvar malignancies. Vulvar liposarcoma may be misdiagnosed as benign lesions because of its location and appearance. The case presented in this paper is a 65-year-old-woman referred with a vulvar mass. The mass was clinically similar to lipoma. After total excision the pathologic report showed a well-differentiated sclerosing liposarcoma. Since a favorable prognosis in vulvar liposarcoma is dependent on the early diagnosis, all clinicians who face patients with vulvar mass should have this diagnosis in their minds.     

Spontaneous first trimester posterior uterine rupture in a multiparous woman with scarred uterus: A case report

Uterine rupture (UR) is a life threatening peripartum complication with high incidence of maternal morbidity and mortality. Posterior wall uterine rupture is a rare presentation especially in the first trimester. Herein, we experienced a case of spontaneous UR in a 24-year-old gravida 3 para 2 pregnant woman at gestational age of 10 weeks presented with acute abdomen. Clinical and ultrasonographic findings were suspicious towards ruptured ectopic pregnancy. However, abdominal exploration revealed posterior wall UR away from the site of lower segment cesarean scar. The tear was repaired in three layers and the patient was discharged after 4 days of hospital stay. UR should be considered in any pregnant woman with hemoperitoneum, Posterior uterine wall rupture is a rare presentation in the first trimester, but must be kept in mind as early intervention is the only way to save the mother's life.     

Sarcoma botryoides of the uterine cervix in a young woman: a case report

Among the rhabdomyosarcomas, which represent an uncommon neoplasm of mesoderm origin comprising about 1% of all female genital malignancies, sarcoma botryoides (SB) is an embrional variant usually found in the vagina of infants and young children under 16 years of age. The onset of SB from the uterine cervix is very rare with a peak incidence in the second decade; only a few cases have been published in the international literature so far. The authors report a case of embryonal rhabdomyosarcoma of the uterine cervix which occurred in a young woman treated by radical surgery, followed by adjuvant chemotherapy and radiotherapy.     

Vulval myxoid liposarcoma

Abstract. Donnellan R, Moodley M. Vulval myxoid liposarcoma.
A 26 year old woman presented with a 4-year history of a gradually enlarging fluctuant mass on the left labium majus. Histologic examination following excision revealed myxoid liposarcoma. Following the diagnosis, further surgery was performed to ensure complete resection. Routine excision of draining lymph nodes is not advocated. Although rare, myxoid liposarcoma should be considered in the differential diagnosis of a vulval soft tissue mass.     

Bilateral primary ovarian leiomyoma in a young woman: case report and literature review

BACKGROUND: Primary ovarian leiomyoma is a very rare tumor and usually it is small, unilateral-, and concomitantly seen with uterine leiomyomata in middle-aged to postmenopausal women. CASE: We describe a case of huge, bilateral ovarian leiomyoma that was not associated with uterine tumor in a 17-year-old woman. The authors of this study documented the smooth muscle origin of the tumor with immunohistochemical studies, the available literature was reviewed and the possible histogenesis was discussed. CONCLUSION: We herein report a case of a rare primary bilateral ovarian leiomyoma in a young woman.     

Pregnancy in a young woman with Buerger's disease. A case report

A young woman with Buerger's disease (thromboangiitis obliterans) had two pregnancies. Ten histologically documented cases of this disease in women have been reported. Only one pregnancy was reported previously.     

Immune deficiency and invasive carcinoma of the vulva in a young woman: a case report

A case report on a 26-year-old virgo intacta with a long standing history of pruritus vulvi, obstructive pulmonary disease, and chronic diarrhea presenting with an invasive squamous carcinoma of the vulva in association with chronic malabsorption and T-lymphocyte deficiency.     

Vagina cancer in a young woman exposed to diethylstilbestrol: case report and literature review

We analyzed a 20 year-old patient case exposed in utero to diethylstilbestrol, as probably predisposed factor in vaginal cancer. The histopathological report of the incisional biopsy was clear cell vaginal adenocarcinoma, stage III, widespread to the pelvic wall, with metastasis to regional lymph nodes, and lack of distant metastasis. We decided surgical management: protocolized laparotomy, peritoneal washing, retroperitoneal node biopsies and a radical hysterectomy, Piver III, with two thirds parts of vagina. By poor prognosis we decided to offer an adjuvant management, with systemic chemotherapy.     

Primary leiomyoma of the ovary in a young woman: literature review and report of a case

Ovarian leiomyoma is a rare tumor. We present a case of ovarian leiomyoma in a 32-year-old virgin with the complaint of dysmenorrhea for six months. On magnetic resonance imaging, a 6 cm x 4 cm mass in the left ovary exhibiting hypointense signals on both T1-weighted and T2-weighted images was initially considered to be fibroma and/or thecoma. However, after surgery the pathological diagnosis of the removed tumor was leiomyoma of the left ovary. The literature on this rare tumor was also reviewed.     

Clear cell endometrial adenocarcinoma in a young woman: report of a case detected by cytology.

A clear cell adenocarcinoma of endometrium detected by cytology is described in a 29-year-old woman, and prior reports of endometrial adenocarcinoma in women under 30 years of age are reviewed and tabulated. The youngest patients previously reported with clear cell carcinoma of endometrium were 31 and 34 years old. Unlike them, this patient had never used contraceptive steroids. She was not exposed to stilbestrol in utero, and exhibited no endocrine abnormalities. Of interest, however, the patient's mother had also had endometrial carcinoma though not with the clear cell histologic pattern.