Leiomyosarcoma Of Rectum Mimicking Primary Ovarian Tumour

  • Junu Devi Department of Pathology.Assam Medical College.Dibrugarh.Assam,India
Keywords: Ovarian tumor, leiomyosarcoma, rectum, histopathology, immunohistochemistry


Leiomyosarcoma of rectum is a very rare mesenchymal tumour with an incidence of approximately 0.1% of all colorectal malignancies. Because of its rarity, its diagnosis, treatment and pathology often present challenges to the clinicians. The characteristics of this tumour, such as its anatomical location, heterogenous solid features on imaging and non specific lower gastrointestinal tract symptoms can be confused with those of a primary ovarian tumour. Further, a synchronously growing primary ovarian tumour may add more confusion to the diagnosis. We have reported this  case of rectal leiomyosarcoma with synchronously occuring primary ovarian tumour in  an elderly female presenting with a large lower abdominal mass;where clinical and radiological findings are more suggestive of a primary malignant ovarian tumour with rectal metastasis. In such situation the possibility of other primary tumor of GIT specifically leiomyosarcoma should be looked for.Here Postoperative histopathological examination and immunohistochemistry  gives confirmatory diagnosis.DOI:10.21276/APALM.1561

Author Biography

Junu Devi, Department of Pathology.Assam Medical College.Dibrugarh.Assam,India
Associate Professor.Department of Pathology.Assam Medical College.Dibrugarh.Assam.India


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Case Report