Long-Term Survival of a Patient with Uterine Leiomyosarcoma Treated With Repeated Metastasectomies: A Case Report

Attila Zaránd, Valéria Jósa, Tamás Vass, Zsolt Baranyai

1 Clinic of Surgery, Semmelweis University, Budapest, Hungary
‘Flór Ferenc’ Hospital, Kistarcsa, Hungary

^*Correspondance to: Attila Zaránd 

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Abstract:

Uterine leiomyosarcomas are uncommon malignancies characterized by early recurrence and metastasis. The authors report the case of a female patient, who has undergone total extirpation of the uterus for leiomyosarcoma, followed by further ten metastasectomies performed in two body cavities. The patient died 23 years after her initial surgery.According to the available literature, neither postoperative adjuvant chemotherapy, nor irradiation has proven successful for the treatment of leiomyosarcoma. In particular, neither of these procedures can halt the propagation and the metastatic spread of the tumor, as well as both fail to improve survival. Lately, repeated surgical resections and metastasectomies have proven the most effective therapeutic interventions, as these might improve survival. It appears that the location of metastases (i.e. pulmonary vs. extrapulmonary) is unimportant-what matters is to remove them.

Keywords:

Uterine leiomyosarcoma; Multiple resections; Oophorectomy; Pulmonary metastasis; Survival

Cite the Article:

Zaránd A, Jósa V, Vass T, Baranyai Z. Long-Term Survival of a Patient with Uterine Leiomyosarcoma Treated With Repeated Metastasectomies: A Case Report. Ann Clin Case Rep. 2016; 1: 1193.