title: Uterine leiomyosarcoma metastatic to soft tissue of the flank following a ten-year disease-free interval.
abstract: A 52-year-old female presented with a metastatic uterine leiomyosarcoma to the left flank ten years following total abdominal hysterectomy for a left adnexal primary. Due to the location of the metastasis in the subcutaneous tissue, it was initially felt to be a lipoma. Following excision, pathology revealed leiomyosarcoma. Rarely do uterine leiomyosarcomas metastasize to areas such as the flank or skeletal muscle. We report the case of a uterine leiomyosarcoma metastasis to soft tissue following an extended disease-free interval. With most recurrences occurring within 8 to 16 months following hysterectomy, this case offers an atypical recurrence of this malignancy. The patient's three-year postoperative course has been uneventful.
authors.affiliation: Surgical Oncology Service, Department of General Surgery, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA.
authors.forename: Malachi W
authors.initials: MW
authors.lastname: Courtney
authors.forename: Edward A
authors.initials: EA
authors.lastname: Levine
mesh_terms: D005260:Female; D006801:Humans; D007044:Hysterectomy; D007890:Leiomyosarcoma / Q000473:pathology* / Q000601:surgery; D009372:Neoplasms, Connective Tissue / Q000556:secondary*; D040521:Subcutaneous Tissue / Q000473:pathology*; D014594:Uterine Neoplasms / Q000556:secondary* / Q000601:surgery