Primary malignant lesions of the vagina represent less than 2%of all gynecologic malignancies. Primary vaginal sarcomas account for about 2%of all malignant vaginal lesions, with leiomyosarcoma being the most common vaginal sarcoma found in adult women.We report a case of primary vaginal leiomyosarcoma occurring in the field of a prior tensionfree vaginal tape (TVT) procedure using a Bard Duraderm allograft.This report represents the first report, to our knowledge, of a vaginal sarcoma arising in the field of a Bard Duraderm TVT allograft. Although the product is no longer available for this use, the ongoing studies of the TVT procedure and outcomes should include this potential complication in their review.
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