UTERINE LEIOMYOSARCOMA WITH CLEAR-CELL AREAS

An unusual case of a uterine leiomyosarcoma with a clear cell componen t in an 82-year-old woman who presented with vaginal bleeding and a ma ss protruding through the cervix is reported. Histologic examination o f the biopsy sample showed only pleomorphic clear tumor cells and necr osis. Because the patient had a history of a breast carcinoma, and a c omputed tomography scan of the abdomen showed a renal cyst, these lesi ons created some problems in the differential diagnosis of the patient 's clear cell neoplasm. The patient was treated with a hysterectomy, a nd examination of the uterus showed an epithelioid leiomyosarcoma with areas of clear cells. Four months after surgery, the patient presente d with a vaginal recurrence, which was resected. Twelve months later, the patient had no evidence of recurrence.