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Recurrent uterine leiomyosarcoma: an atypical location
Mesut Köse1, Fatih Çelik1, Seda Kayman Köse2
1Afyonkarahisar Kocatepe University, Faculty of Medicine, Department of obstetrics and Gynecology, Afyonkarahisar, Turkey.
Journal of Experimental Therapeutics & Oncology
|November 17, 2016
Summary
This case report details a rare instance of uterine leiomyosarcoma (LMS) metastasizing to the rectus abdominis muscle. It highlights the importance of suspecting metastasis in skeletal muscle masses for patients with a history of aggressive gynecologic cancers.
Area of Science:
- Oncology
- Pathology
- Surgical Oncology
Background:
- Leiomyosarcoma (LMS) is a rare soft tissue sarcoma originating from smooth muscle cells.
- Uterine LMS can present with various symptoms, often related to tumor size and location.
- Metastasis of LMS to skeletal muscle is exceptionally uncommon.
Observation:
- A 57-year-old patient with a history of uterine LMS presented with an abdominal mass.
- A mass was discovered in the rectus abdominis muscle during surgery, seven years post-hysterectomy for LMS.
Findings:
- Histopathological examination confirmed the rectus abdominis mass as leiomyosarcoma metastasis.
- This represents one of the few documented cases of LMS metastasizing to skeletal muscle.
Implications:
- Skeletal muscle masses in patients with a history of uterine leiomyosarcoma should raise suspicion for metastasis.
- Early detection and diagnosis are crucial for managing metastatic LMS and improving patient outcomes.
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