Scar recurrence of uterine sarcoma: a case report.
BACKGROUND
Uterine leiomyosarcoma is an aggressive tumor that has a propensity for recurrence. Most of the recurrences occur at either pelvic or distant sites, such as lung or liver. Recurrences in the laparotomy scar are extremely rare.


METHODS
A 52-year-old woman underwent hysterectomy for stage I, grade 2 uterine leiomyosarcoma. She did not receive any adjuvant treatment. She presented 2 years later with wound recurrence. She had no evidence of intraabdominal disease. She underwent radical resection with mesh repair. Pathology revealed high grade spindle cell sarcoma very similar to the previous cancer. After completion of 18 months of follow-up, she was disease free.


CONCLUSIONS
Radical resection of isolated metastases may be of benefit for these patients.
Nair
Rema Prabhakaran
RP
Divisions of Surgical Oncology and Pathology, Regional Cancer Centre, Thiruvananthapuram, Kerala, India. premarcc@yahoo.com
Somanathan
Thara
T
Sebastian
Paul
P
D002921:Cicatrix / Q000473:pathology; D005260:Female; D006801:Humans; D007890:Leiomyosarcoma / Q000175:diagnosis*; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis*; D009366:Neoplasm Seeding; D014594:Uterine Neoplasms / Q000175:diagnosis*