Unusual presentation of metastatic leiomyosarcoma-right forearm swelling.

J Surg Case Rep

Royal Liverpool and Broadgreen Hospitals, Dept of Orthopaedics, Prescot Street, Liverpool, L7 8XP. 0151 706 2000, UK.

Published: February 2019

AI Article Synopsis

  • Leiomyosarcoma (LMS) is a rare smooth muscle tumor, making up about 11% of soft-tissue sarcomas, and can occur in various body locations, most frequently in the uterus and gastrointestinal tract.
  • There is limited documentation on LMS spreading to skeletal muscle, highlighting the rarity of such cases.
  • The report discusses a unique case of metastatic LMS in a 71-year-old male's forearm, emphasizing the challenges in diagnosing and managing this unpredictable tumor.

Article Abstract

Leiomyosarcoma (LMS) is a rare smooth muscle connective tissue tumour accounting for around 11% of soft-tissue sarcomas (Ducimetiere F, Lurkin A, Ranchere-Vince D, Decouvelaere AV, Péoc'h M, Istier L . Incidence of sarcoma histotypes and molecular subtypes in a prospective epidemiological study with central pathology review and molecular testing. 2011;6:e20294). LMS are highly unpredictable tumours that can present at any site in the body, most commonly in the uterus, stomach, small intestine and retroperitoneum. There are few published case reports within the literature on the metastatic spread of LMS to skeletal muscle. We present an unusual presentation of metastatic Leiomyosarcoma in the right forearm of a 71-year-old male treated with limb-sparing surgical excision. This case report demonstrates the unusual and unpredictable nature of metastatic LMS presentation, which poses difficulty in diagnosis and management.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6388081PMC
http://dx.doi.org/10.1093/jscr/rjy350DOI Listing

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