Local recurrence and multi-organ metastasis of primary retroperitoneal leiomyosarcoma in unusual locations after surgical resection

J Radiol Case Rep. 2011;5(6):1-8. doi: 10.3941/jrcr.v5i6.626. Epub 2011 Jun 1.

Abstract

We report a case of retroperitoneal leiomyosarcoma in a 52-year-old woman, who developed local recurrence, pulmonary, hepatic, peritoneal, pancreatic, subcutaneous and intramuscular metastases two years after surgical resection of the primary tumor. Metastasis to the pancreas, subcutaneous or muscular tissue is very rare; however, presence of a lesion in these locations in a known case of leiomyosarcoma might indicate a metastatic tumor deposit.

Keywords: Computed tomography; Leiomyosarcoma; Metastasis; Pancreas; Retroperitoneum; Skeletal muscle.

Publication types

  • Case Reports

MeSH terms

  • Fatal Outcome
  • Female
  • Humans
  • Leiomyosarcoma / diagnosis*
  • Leiomyosarcoma / secondary*
  • Liver Neoplasms / diagnosis
  • Liver Neoplasms / secondary
  • Lung Neoplasms / diagnosis
  • Lung Neoplasms / secondary
  • Middle Aged
  • Muscle Neoplasms / diagnosis
  • Muscle Neoplasms / secondary
  • Neoplasm Recurrence, Local / diagnosis*
  • Neoplasms, Connective Tissue / diagnosis
  • Neoplasms, Connective Tissue / secondary
  • Pancreatic Neoplasms / diagnosis
  • Pancreatic Neoplasms / secondary
  • Peritoneal Neoplasms / diagnosis
  • Peritoneal Neoplasms / secondary
  • Retroperitoneal Neoplasms / pathology*
  • Retroperitoneal Neoplasms / surgery
  • Time Factors