{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:40:34Z","timestamp":1787071234199,"version":"build-2736575974"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"\n A\n BSTRACT<\/jats:sc>\n <\/jats:title>\n \n Uterine leiomyoma is the most common benign tumor in women\n [1]<\/jats:sup>\n and a frequent outpatient finding by gynaecologists, whereas leiomyosarcomas (LMSs) comprise <1% of female genital tract malignancies. We present the case of a 37-year-old female who underwent fertility sparing surgery for uterine leiomyoma and was postoperatively diagnosed as LMS. She subsequently underwent a completion surgery for the same. The diagnostic challenges in a case of suspected sarcoma of the uterus are manifold. It may assist the clinician to use keep a high degree of suspicion in certain cases and explore newer scoring systems and biomarkers preoperatively.\n <\/jats:p>","DOI":"10.4103\/jmh.jmh_40_24","type":"journal-article","created":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T07:01:06Z","timestamp":1775199666000},"page":"185-187","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Uterine Leiomyosarcoma in a Case of Leiomyoma: A Rare Encounter with Review of Newer Diagnostic Modalities"],"prefix":"10.4103","volume":"17","author":[{"given":"Vinod G.","family":"Nair","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Command Hospital, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roshni","family":"Abichandani","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Command Hospital, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhijeet","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Command Hospital, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eshwarya Jessy","family":"Kaur","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Command Hospital, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,3,31]]},"reference":[{"key":"R1-20260414","doi-asserted-by":"crossref","first-page":"1501","DOI":"10.1111\/1471-0528.14640","article-title":"Epidemiology of uterine fibroids:A systematic review","volume":"124","author":"Stewart","year":"2017","journal-title":"BJOG"},{"key":"R2-20260414","doi-asserted-by":"crossref","first-page":"1403","DOI":"10.1148\/rg.2018180006","article-title":"Retroperitoneal Leiomyosarcoma From the Radiologic Pathology Archives","volume":"38","author":"Marko","year":"2018","journal-title":"Radiographics"},{"key":"R3-20260414","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1097\/00000421-200206000-00010","article-title":"Prognostic factors and treatment modalities in uterine sarcoma","volume":"25","author":"El","year":"2002","journal-title":"Am J Clin Oncol"},{"key":"R4-20260414","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1006\/gyno.1999.5629","article-title":"Frequent occurrence of loss of heterozygosity among tumor suppressor genes in uterine leiomyosarcoma","volume":"75","author":"Zhai","year":"1999","journal-title":"Gynecol Oncol"},{"key":"R6-20260414","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1002\/ijgo.15136","article-title":"Diagnostic accuracy of MRI in the differential diagnosis between uterine leiomyomas and sarcomas:A systematic review and meta-analysis","volume":"165","author":"Raffone","year":"2024","journal-title":"Int J Gynaecol Obstet"},{"key":"R7-20260414","doi-asserted-by":"crossref","first-page":"678","DOI":"10.1186\/2193-1801-3-678","article-title":"Novel uterine sarcoma preoperative diagnosis score predicts the need for surgery in patients presenting with a uterine mass","volume":"3","author":"Nagai","year":"2014","journal-title":"Springerplus"},{"key":"R8-20260414","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1016\/j.ejogrb.2019.03.017","article-title":"A more accurate method to interpret lactate dehydrogenase (LDH) isoenzymes'results in patients with uterine masses","volume":"236","author":"Di","year":"2019","journal-title":"Eur J Obstet Gynecol Reprod Biol"}],"container-title":["Journal of Mid-life Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jmh.jmh_40_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:43:27Z","timestamp":1787067807000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jmh.jmh_40_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/jmh.jmh_40_24","relation":{},"ISSN":["0976-7800","0976-7819"],"issn-type":[{"value":"0976-7800","type":"print"},{"value":"0976-7819","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2024-03-06","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-17","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}