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Introduction: Leiomyoma of the uterus is the most common tumor of the female reproductive tract. While most leiomyomas on histology are usual myomas, sometimes rare variants may be encountered. Case Report: We report a case of an atypical uterine leiomyoma in a 49-yearold multipara, who presented with continuous bleeding per vaginum of one month duration and discuss the pathophysiology, salient clinical features and management of this rare condition. Conclusion: Atypical leiomyoma is a rare variant of uterine smooth muscle tumors, which mimics leiomyosarcomas, and may even be its precursor lesion.

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