Primary leiomyosarcoma of the vagina: a case report involving a TVT allograft

Primary malignant lesions of the vagina represent less than 2% of all gynecologic malignancies. Primary vaginal sarcomas account for about 2% of all malignant vaginal lesions, with leiomyosarcoma being the most common vaginal sarcoma found in adult women. We report a case of primary vaginal leiomyos...

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Bibliographic Details
Published in:Gynecologic oncology 2004-09, Vol.94 (3), p.840-842
Main Authors: Moller, Karen, Mathes, Gordon L., Fowler, Wesley
Format: Article
Language:English
Subjects:
Aged
Female
Humans
Leiomyosarcoma
Leiomyosarcoma - etiology
Surgical Mesh - adverse effects
Transplantation, Homologous
TVT allograft
Urogenital Surgical Procedures - adverse effects
Urogenital Surgical Procedures - methods
Vagina
Vagina - surgery
Vaginal Neoplasms - etiology
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Summary:Primary malignant lesions of the vagina represent less than 2% of all gynecologic malignancies. Primary vaginal sarcomas account for about 2% of all malignant vaginal lesions, with leiomyosarcoma being the most common vaginal sarcoma found in adult women. We report a case of primary vaginal leiomyosarcoma occurring in the field of a prior tension-free vaginal tape (TVT) procedure using a Bard Duraderm allograft. This report represents the first report, to our knowledge, of a vaginal sarcoma arising in the field of a Bard Duraderm TVT allograft. Although the product is no longer available for this use, the ongoing studies of the TVT procedure and outcomes should include this potential complication in their review.
ISSN:0090-8258
1095-6859
DOI:10.1016/j.ygyno.2004.06.038