title: Perforated intestinal leiomyosarcoma as a metastasis of uterine leiomyosarcoma: a case report.
abstract: BACKGROUND
  Uterine leiomyosarcomas are relatively uncommon soft tissue neoplasms and rarely metastases to small bowel. In the current case; a patient is suffering from intestinal perforation due to metastatic leiomyosarcoma of the small bowel.
  
  
  METHODS
  A 59-year-old woman underwent a modified radical mastectomy for infiltrating ductal cancer of the breast six years ago and a total abdominal hysterectomy for leiomyosarcoma of the uterus two years ago. About 2400 cGy total dose radiotherapy has also been applied after total hysterectomy for bone metastasis of breast cancer. She admitted to our clinic with the complaints of acute abdomen due to perforated small bowel metastasis of leiomyosarcoma during the radiotherapy. Laparotomy was performed and leiomyosarcoma of the ileum was removed totally. Histopathologic examination of the specimen confirmed the presence of the leiomyosarcoma in intestinal tissue samples.
  
  
  CONCLUSIONS
  We aimed to present this unusual case which perforated presentation of the intestinal metastasis of uterine leiomyosarcoma.
authors.affiliation: Department of 3rd Surgery, Ankara Numune Teaching and Research Hospital, Ankara, Turkey. mdbsaylam@yahoo.com
authors.forename: Bariş
authors.initials: B
authors.lastname: Saylam
authors.forename: Omer Vefik
authors.initials: OV
authors.lastname: Ozozan
authors.forename: Arife Polat
authors.initials: AP
authors.lastname: Düzgün
authors.forename: Bahadir
authors.initials: B
authors.lastname: Külah
authors.forename: Ozge
authors.initials: O
authors.lastname: Han
authors.forename: Faruk
authors.initials: F
authors.lastname: Coşkun