Karen I. Sánchez-Villegas, University Center Against Cancer, “Dr. José Eleuterio González” University Hospital and School of Medicine. Autonomous University of Nuevo León, Monterrey, Nuevo Leon, Mexico Daneli Ruiz-Sánchez, University Center Against Cancer, “Dr. José Eleuterio González” University Hospital and School of Medicine. Autonomous University of Nuevo León, Monterrey, Nuevo Leon, Mexico Oscar Vidal-Gutiérrez, University Center Against Cancer, “Dr. José Eleuterio González” University Hospital and School of Medicine. Autonomous University of Nuevo León, Monterrey, Nuevo Leon, Mexico Carlos E. Salazar-Mejía, University Center Against Cancer, “Dr. José Eleuterio González” University Hospital and School of Medicine. Autonomous University of Nuevo León, Monterrey, Nuevo Leon, Mexico


Primary sarcomas of the cervix are rare neoplasms. Of all diagnosed cervical sarcomas, leiomyosarcomas correspond to 21% of cases. A 43-year-old woman presented with vaginal bleeding, and a pelvic ultrasound showed an image suggestive of a myoma during her approach. She underwent hysterectomy plus salpingo-oophorectomy, and the pathology study reported a high-grade leiomyosarcoma originating from the endocervix. Management with adjuvant radiotherapy was decided on, and 12 months later, she presented a recurrence of the disease, and chemotherapy was started. There is no established optimal treatment, and the available evidence is scarce.



Keywords: Cervical leiomyosarcoma. Radiotherapy. Cervical sarcoma. Adjuvant therapy.