Paraovarian leiomyosarcoma with scalp metastasis: a case report.
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.
Sultana
N
N
Gynecologic Oncology Program, Florida Hospital Cancer Institute, Orlando, FL 32804, USA.
Pikaart
D P
DP
Ahmad
S
S
DeNardis
S A
SA
Finkler
N J
NJ
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*