Abstract

*A. Etber, O. Harmouchi, H. Kendoussi, A. Lakhdar and A. Baidada

ABSTRACT

Leiomyosarcoma is a rare mesenchymal tumor associated with a poor prognosis. Its annual incidence is estimated at 0.50 to 7/100,000 women.(6.12) Its diagnosis is difficult. There is a similarity in the clinical and radiological characteristics between a leiomyosarcoma and a benign leiomyoma. However, the best examination for the evaluation of this pathology remains magnetic resonance imaging. The préoperative diagnosis allows to avoid conservative surgical treatment, myomectomy and morcellation of leiomyoma, further worsening the prognosis of this pathology. Only histology allows the diagnosis of certainty. through our case and a review of the literature, we report the diagnostic difficulties and the clinical and radiological criteria on which to base the preoperative diagnosis.