A giant primary vaginal sarcoma: A report case and literature review

Mohamed Moukhlissi; Ahmed Ben Sghier; Badr Serji; Tijani El Harroudi; Amal Bennani; Zineb Dahbi; Soufinae Berhilli; Loubna Mezouar

doi:10.1016/j.radcr.2023.02.024

A giant primary vaginal sarcoma: A report case and literature review

Radiol Case Rep. 2023 Mar 7;18(5):1872-1876. doi: 10.1016/j.radcr.2023.02.024. eCollection 2023 May.

Authors

Mohamed Moukhlissi¹, Ahmed Ben Sghier¹, Badr Serji², Tijani El Harroudi², Amal Bennani³, Zineb Dahbi⁴, Soufinae Berhilli¹, Loubna Mezouar¹

Affiliations

¹ Radiotherapy Department, University Mohamed VI Hospital, Mohamed First University Oujda, Oujda, Morocco.
² Surgery Department, University Mohamed VI Hospital, Mohamed First University Oujda, Oujda, Morocco.
³ Anatomopathology Department, University Mohamed VI Hospital, Mohamed First University Oujda, Oujda, Morocco.
⁴ Radiotherapy Department, Mohammed VI University of Health Sciences, Casablanca, Morocco.

Abstract

Primary vaginal sarcoma is a rare disease entity, reported in less than 3% of cases of vaginal cancers. We report the observation of a patient treated at the regional oncology center of Oujda in Morocco who is presented with a non-metastatic primary vaginal leiomyosarcoma of 20 cm. The treatment consisted of neoadjuvant chemotherapy, followed by hemostatic surgery with tumor resection limits, reinforced by radiotherapy and then a surgical resection with a tumor resection taking away the infiltrated part of the anterior face of the lower rectum and the realization of a left iliac colostomy whose resected tumor part limits were healthy. At present, the patient is 4 years of follow-up without locoregional or distant recurrence.

Keywords: Leiomyosarcoma; Radiotherapy; Surgery; Vagina.

Publication types

Case Reports