Procedure: Total abdominal hysterectomy (TAH) and bilateral salpingo-oophorectomy (BSO).

Histopathology:  Leiomyosarcoma. 11 cm in greatest dimension. Positive tumor cell necrosis. Myometrial invasion: focal less than 2 mm (myometrial thickness cannot be assessed). Mild to moderate focal atypia. Mitotic index=14 M/10 HPF. Endometrium, cervix, ovaries and fallopian tubes not involved. Negative margins. Pathologic staging: pT1b, pNx.