Isolated Metastasis of Uterine Leiomyosarcoma to the Small Bowel Diagnosed Initially as Uterine Leiomyoma: A Case Report and Review of the Literature
- *Corresponding Author:
- Afaf Semmar
Department of Radiotherapy, National Institute of Oncology
University Mohammed V, Rabat, Morocco
E-mail: [email protected]
Received Date: November 02, 2016; Accepted Date: December 12, 2016; Published Date: December 17, 2016
Citation: Semmar A, Mouden K, Laanaz S, ELallam O, Kabdani T, et al. (2016) Isolated Metastasis of Uterine Leiomyosarcoma to the Small Bowel Diagnosed Initially as Uterine Leiomyoma: A Case Report and Review of the Literature. J Clin Case Rep 6:901. doi: 10.4172/2165-7920.1000901
Copyright: © 2016 Semmar A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Introduction: Uterine sarcoma is rare, Leiomyosarcoma is the main type of sarcoma that may resemble to leiomyoma. Metastasis to small bowel is extremely rare, treatment is chemotherapy and the prognosis is unfavorable.
Case presentation: A 41-year-old Moroccan women, with no significant past medical history, was diagnosed with intracavitary myoma. The patient underwent subtotal hysterectomy with bilateral salpingectomy. Pathology findings indicated high grade leiomyosarcoma. The patient was re-operated, she underwent bilateral oophorectomy, omentectomy, segmental small bowel resection and excision of uterine cervix. Histopathology revealed a metastatic lesion of the primary uterine leiomyosarcoma of the small bowel. The patient was treated by chemotherapy: Doxorubicin 75 mg/m2 every 3 weeks for 6 cycles. The follow-up of this patient is 10 months and her ECOG is 0.
Conclusion: Leiomyosarcoma is the main type of sarcoma that may resemble to leiomyoma. Metastatis to small bowel is rare, treatment is chemotherapy and the prognosis is poor.