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A RARE CASE OF UTERINE SARCOMA Mrs Aruna Bhoite, a 50 year old P4L3IUFD1 with postmenopausal status since 2 years came with complaints of 1 episode of postmenopausal bleeding On examination , per abdominally uterus was 28-30weeks size and partially mobile. On per speculum examination, cervix appears flushed with vagina with atrophic changes. On PV entire fornix was fully occupied by mass Usg was done on 12/9/24 21.7X14.9 cm huge mass, avascular with multicystic necrotic component at fundus 3.2 cm cystic anechoic lesion in right adnexa S/o right ovarian simple cyst LDH- 214 Ca125 - 30.3 MRI done s/o large exophytic subserosal uterus (FIGO type 7) with cystic degeneration and Hemorrhage within with enlarged pelvic lymph nodes Patient underwent - EXPLORATORY LAPAROTOMYWITH FROZEN SECTION F/B TOTAL ABDOMINAL HYSTERECTOMY WITH BILATERAL SALPINGOOOPHORECTOMY WITH PELVIC AND PARAAORTIC LYMPH NODE DISSECTION FOR SUSPECTED LEIOMYOSARCOMA Intraoperative findings ver as follows Large 25X25X20 cm well encapsulated subserosal fibroid encompasing whole right ovary and right fimbria Mass infiltrating whole of right gonadal vein s/o tumor extending to ivc Pelvic lymph node dissection done Postoperative course was uneventful HPR report - S/o malignant high grade tumor Differentials High grade myxoid leiomyosarcoma arising in leimyoma with nodal metastasis High grade leiomyosarcoma arising in gonadal vein with nodal metastasis High grade endometrial stromal sarcoma of uterus Malignant pecoma of uterus Undifferentiated sarcoma of uterus Further management done after consulting medical and surgical oncologist