Perforated intestinal leiomyosarcoma as a metastasis of uterine leiomyosarcoma: a case report.

Authors:
Baris Saylam
Baris Saylam
Ankara Numune Teaching and Research Hospital
Turkey
Omer Vefik Ozozan
Omer Vefik Ozozan
Ankara Numune Teaching and Research Hospital
Ankara | Turkey
Arife Polat Duzgun
Arife Polat Duzgun
Ankara Numune Teaching and Research Hospital
Turkey
Ozge Han
Ozge Han
Numune Education and Research Hospital
Turkey
Faruk Coskun
Faruk Coskun
Ankara Numune Teaching and Research Hospital
Turkey

Cases J 2009 Sep 17;2:9288. Epub 2009 Sep 17.

Department of 3rd Surgery, Ankara Numune Teaching and Research Hospital, Ankara, Turkey.

Introduction: Uterine leiomyosarcomas are relatively uncommon soft tissue neoplasms and rarely metastases to small bowel. In the current case; a patient is suffering from intestinal perforation due to metastatic leiomyosarcoma of the small bowel.

Case Presentation: A 59-year-old woman underwent a modified radical mastectomy for infiltrating ductal cancer of the breast six years ago and a total abdominal hysterectomy for leiomyosarcoma of the uterus two years ago. About 2400 cGy total dose radiotherapy has also been applied after total hysterectomy for bone metastasis of breast cancer. She admitted to our clinic with the complaints of acute abdomen due to perforated small bowel metastasis of leiomyosarcoma during the radiotherapy. Laparotomy was performed and leiomyosarcoma of the ileum was removed totally. Histopathologic examination of the specimen confirmed the presence of the leiomyosarcoma in intestinal tissue samples.

Conclusion: We aimed to present this unusual case which perforated presentation of the intestinal metastasis of uterine leiomyosarcoma.

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Source
http://dx.doi.org/10.1186/1757-1626-0002-0000009288DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2827092PMC

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September 2009
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