IMR Press / EJGO / Volume 30 / Issue 5 / pii/2009138

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Case Report

Paraovarian leiomyosarcoma with scalp metastasis: a case report

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1 Gynecologic Oncology Program, Florida Hospital Cancer Institute, Orlando, FL (USA)
Eur. J. Gynaecol. Oncol. 2009, 30(5), 566–567;
Published: 10 October 2009
Abstract

Purpose: Leiomyosarcoma is a rare neoplasm. There is paucity of literature in regards to paraovarian leiomyosarcoma with metastases to the scalp. We present a 72-year-old woman with metastases to the scalp from a primary paraovarian high grade leiomyosarcoma. Methods and Results: The patient underwent a total abdominal hysterectomy, pelvic and aortic lymphadenectomy, excision of Meckel’s diverticulum, and radical pelvic tumor debulking with sigmoid colectomy and end-to-end anastomosis and six cycles of tax-otere/carboplatin. She presented 18 months later with metastatic high-grade leiomyosarcoma to the scalp. The lesions were excised and she is now receiving palliative taxotere and gemcitabin. Conclusion: High-grade leiomyosarcoma is known for its resistance to chemotherapy, radiation therapy, and propensity for hematological dissemination with an overall poor prognosis. 

Keywords
Leiomyosarcoma
Ovarian/Uterine cancer
Scalp metastasis
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