•Primary leiomyosarcoma of the vagina is a rare disease.•We identified a case of unanticipated indolent behavior of vaginal leiomyosarcoma.•Observation or hormonal therapy may be viable option for select patients.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5472150PMC
http://dx.doi.org/10.1016/j.gore.2017.06.007DOI Listing

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