Inflammatory leiomyosarcoma of the ankle: a case report and review of the literature.
Inflammatory leiomyosarcoma is a rare morphologic expression of smooth muscle tumor, which is more often found in the trunk, extremities, and retroperitoneoum. We present a case of inflammatory leiomyosarcoma arising near the ankle joint, superior to the medial malleolus, in a 55-year-old man. Immunohistochemistry, electron microscopy, and cytogenetics were used in the differentiation of this rare morphologic expression of leiomyosarcoma. As in all soft tissue leiomyosarcomas, the accurate prediction of the clinical behavior of this morphologic expression often proves to be difficult. Age, vascular invasion, depth, grade, tumor disruption, size, and stage have prognostic value. Nevertheless, prognosis of inflammatory leiomyosarcoma seems to be favorable when treated early with wide excision of the tumor as in the case presented. Sixteen months after excision of the tumor the patient is doing well with no signs of recurrence.
Efstathopoulos
Nicolas
N
2nd Orthopaedic Department, Athens University, Agia Olga Hospital, 45 Spefsippou Str., 106 76 Kolonaki, Athens, Greece. bniko@otenet.gr
Lazarettos
John
J
Nikolaou
Vassilios
V
Chronopoulos
Efstathios
E
D000843:Ankle Joint / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007249:Inflammation / Q000473:pathology* / Q000601:surgery; D007890:Leiomyosarcoma / Q000473:pathology* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D012983:Soft Tissue Neoplasms / Q000473:pathology* / Q000601:surgery