title: Paraovarian leiomyosarcoma with scalp metastasis: a case report.
abstract: OBJECTIVE
  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.
  
  
  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 taxotere/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.
  
  
  CONCLUSIONS
  High-grade leiomyosarcoma is known for its resistance to chemotherapy, radiation therapy, and propensity for hematological dissemination with an overall poor prognosis.
authors.affiliation: Gynecologic Oncology Program, Florida Hospital Cancer Institute, Orlando, FL 32804, USA.
authors.forename: N
authors.initials: N
authors.lastname: Sultana
authors.forename: D P
authors.initials: DP
authors.lastname: Pikaart
authors.forename: S
authors.initials: S
authors.lastname: Ahmad
authors.forename: S A
authors.initials: SA
authors.lastname: DeNardis
authors.forename: N J
authors.initials: NJ
authors.lastname: Finkler
mesh_terms: D000368:Aged; D005260:Female; D006258:Head and Neck Neoplasms / Q000556:secondary*; D006801:Humans; D007890:Leiomyosarcoma / Q000556:secondary*; D010051:Ovarian Neoplasms / Q000473:pathology*; D012535:Scalp; D012878:Skin Neoplasms / Q000556:secondary*