Recurrent Atypical Leiomyoma Arising From Vaginal Cuff after Hysterectomy- A Rare Case Report

Introduction: Leiomyoma are benign mesenchymal tumors presenting as the most common uterine neoplasm. Atypical leiomyoma (ALM), a nomenclature given in WHO classification, is a leiomyoma variant showing histopathological features ranging between a benign leiomyoma and leiomyosarcoma (LMS). It is a rare smooth muscle neoplasm detected mostly on histological examination in myomectomy and hysterectomy specimens. It usually arises from myometrium; however extrauterine sites such as cervix, vagina, retroperitoneum etc. have rarely been reported. ALM has a very low rate of extrauterine and intraabdominal recurrence (<2%) with a negligible risk for distant metastasis. The case as being presented here has never been reported earlier, where ALM was not only recurrent but also arose at different sites, first from cervix, then uterine fundus and surprisingly twice from vaginal cuff after hysterectomy.