A Clinical Study of 16 Cases of Uterine Sarcomas.

Seok, Won Il; Seo, Nam Won; Yoo, Gun Sang; Kim, Heung Yeol; Park, Un Dong

Obstet Gynecol Sci > Volume 40(11); 1997 > Article

Original Article

Korean Journal of Obstetrics & Gynecology 1997;40(11):2451-2456.
Published online: January 1, 2001

A Clinical Study of 16 Cases of Uterine Sarcomas.

Won Il Seok, Nam Won Seo, Gun Sang Yoo, Heung Yeol Kim, Un Dong Park

Department of Obstetrics and Gynecology, College of Medicine, Kosin University, Pusan, Korea.

Abstract

Sarcoma of the uterus is very rare malignant tumor arising from the muscle or connective tissue, and there are only a few cases reported in Korea. We have experienced 16 cases of uterine sarcomas for 10 years from 1986 to 1995. The results are as follows: 1. The incidence of uterine sarcomas in uterine leiomyomas was estimated to 0.69%. 2. The pathologic types were 5 cases(31.3%) of leiomyosarcoma, 3 cases(18.8%) of endometrial stromal sarcoma, 6 cases(37.5%) of malignant mixed Mllerian tumor 2 cases(12.5%) of rhabdomyosarcoma in order. 3. The mean age was 46.4 years. 4. Seven(58.7%) were stage I, 2(16.7%) were stage III, and 3(25.6%) were stage IV. 4. The chief complaints on admission were abdominal mass(50%), abnormal bleeding(25%), and pelvic or abdominal pain(25%). 5. The estimated median survival was 43 months, and there was no correlation between survival and number of mitotic figure per 10 high power fields, stages, or radiation therapy.

Keywords: Uterine sarcoma; Leiomyoma; Prognosis