RENAL LEIOMYOSARCOMA IN PREGNANCY A RARE PRESENTATION

Sarcomas represent 1 to 2 percent of all malignant renal tumors in adults, with a peak incidence in the fifth decade of life. Leiomyosarcoma is the most common histologic subtype of renal sarcoma, accounting for 50 to 60 percent of such tumors. We would like to present a case of leiomyosarcoma in pregnancy.A 21yrs old female who was pregnant (24weeks) presented to us with history of total, painless hematuria of 10 days duration which was not associated with clots. On examination there was a vague mass in the left loin and uterus was 24wks.Other systemic examinations were normal. Her routine blood and urine examination was normal. Since the patient was pregnant, she underwent an MRI scan of the abdomen which revealed a mass in the left kidney. Patient underwent left radical nephrectomy and recovered well. Final diagnosis came out as Leiomyosarcoma.Eventhough sarcomas are a rare diagnosis in kidneys, they carry a dismal prognosis. Moreover renal tumours during pregnancy itself are rare and the diagnosis of a Leiomyosarcoma is still rarer. Our case is one among the few cases reported in literature. Unfortunately our patient lost her precious child. Not to mention in these scenarios the treatment is a multidisciplinary approach and it also takes into account the opinion of the patient and their relatives