Multiple leiomyosarcomas

A 32-year-old woman underwent a conservative total excision of a leiomyosarcoma of the sigmoid mesocolon. During the subsequent six years she developed additional malignant and benign smooth muscle neoplasms in the soft tissues and uterus which were treated only by nonmutilating surgical excisions with an excellent result. Since we know of no proof to the contrary, we submit this case as an example for surgically excising adult soft tissue sarcomas in as conservative a manner as is sufficient to locally eradicate the disease. Adjunctive radiation or chemotherapy or both may prove to be beneficial.