A Case of Primary Leiomyosarcoma of the Femur.
10.3904/kjm.2015.88.6.724
- Author:
Jae Sung AHN
1
;
Soyon RHEE
;
Byoung Joo DO
;
In Young PARK
;
Sung Ho SHIN
;
Jae Hyuk LEE
;
Hunho SONG
Author Information
1. Department of Internal Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. hunhos@hallym.or.kr
- Publication Type:Case Report
- Keywords:
Leiomyosarcoma;
Femur;
Radiotherapy
- MeSH:
Abdomen;
Drug Therapy;
Female;
Femur*;
Follow-Up Studies;
Hip;
Humans;
Leiomyosarcoma*;
Lung;
Middle Aged;
Neoplasm Metastasis;
Radiotherapy;
Thorax
- From:Korean Journal of Medicine
2015;88(6):724-727
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Primary leiomyosarcoma rarely occurs in bone; when it occurs, it is more frequent in middle-aged individuals and frequently metastasizes to the lung. Here, we report a case of primary leiomyosarcoma of the femur in a 47-year-old woman who complained of pain in the left hip. The plain x-ray revealed an osteolytic lesion in the greater trochanter of the femur. The histopathological and immunohistochemical evaluation revealed a moderately differentiated leiomyosarcoma. Computed tomography of the chest and abdomen revealed no other potential primary lesions. The patient was diagnosed with primary leiomyosarcoma of the bone. Although surgical removal was recommended, the patient refused surgery. As an alternative, she was given radiotherapy and chemotherapy. No local progression or distant metastasis has been observed during the 4-year follow-up period.