Undifferentiated Uterine Sarcoma of the Cervix:A Case Report
LIU Juan
TIAN Li-bin
YANG Yong
XU Xun-hua
LI Ling
Abstract：A case of primary undifferentiated uterine sarcoma of the cervix is reported.The patient presented for medical consultation due to vaginal bleeding for 1 week after 7 years of menopause.A 9 cm mass in the cervix was detected during a gynecological examination.Imaging studies indicated a huge cervical mass and pelvic effusion,with no obvious enlarged lymph nodes.Subsequently,an abdominal total hysterectomy and bilateral salpingo-oophorectomy were performed.Postoperative pathological biopsy and immunohistochemistry suggested low-grade undifferentiated uterine sarcoma.After the operation,the patient refused radiotherapy and chemotherapy and did not undergo regular follow-up.Six months later,the patient presented again with vaginal bleeding and lower abdominal distension and pain.Imaging showed a space-occupying lesion at the vaginal stump,and tumor recurrence was considered possible.Therefore,transcatheter internal iliac artery embolization,iliac artery angiography and intra-arterial injection of chemotherapy drugs(cisplatin 60 mg+epirubicin 30 mg)were carried out.Two months later,the patient received chemotherapy once at another hospital due to intermittent vaginal bleeding.The patient was followed up regularly for 9 months,during which no treatment was administered,and intermittent vaginal bleeding occurred.The patient was then lost to follow-up.
Keywords：SarcomaUterine cervical neoplasmsDiagnosisTherapyPrognosis
Publication Date：2025-12-15
Online Publishing Date：2026-01-13(First online date of this platform, not the publication date of the document)
Pages：5( 712-716 )