Primary leiomyosarcoma of the uterine cervix is an exceedingly rare tumor. Probably, this is first case to be reported in a young woman. A 25-year-old south Indian woman presented with excessive white discharge per vaginum. On examination, a growth in the cervix infiltrating to the anterior vaginal wall was present. Biopsy showed leiomyosarcoma. Two cycles of chemotherapy with cisplatin, doxorubicin and cyclophosphamide were given and then a total hysterectomy with bilateral salpingo-oophorectomy was carried out, followed by local radiation to the anterior vaginal wall. The patient developed extensive metastasis within 6 months of surgery. Because the number of reported cases is very small, the optimal mode of treatment is yet to be established. Additional cases are needed to establish the optimal mode of management and to predict the prognosis.
SUMMARYSecondary bladder neoplasms are very rare and represent 1% of all malignant bladder tumours. Among secondary bladder tumours, metastasis from the stomach accounts for about 4% of cases. These secondary tumours are generally detected during follow-up of patients already treated for gastric cancer. We report a case of metastatic adenocarcinoma of the urinary bladder from an occult primary poorly differentiated signet ring cell type gastric carcinoma masquerading clinically as genitourinary tuberculosis. Our case illustrates the importance of obtaining a bladder biopsy in suspected chronic inflammatory conditions such as urinary tract tuberculosis before starting medical management to avoid the serious consequences of missing a bladder malignancy.
BACKGROUND
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