title: Leiomyosarcoma of the hand.
abstract: Soft-tissue sarcomas of the hand are rare and the devastating effect of an undiagnosed sarcoma warrants clinical vigilance. We present the case of an unsuspected leiomyosarcoma localised in the hand in order to underline (i) the rarity of the disease in this site, (ii) the role of adequate surgical treatment in the first step, (iii) the relationship with adjuvant treatments, lymph node metastasis and the poor prognosis of this tumour.
authors.affiliation: Department of Orthopedics, University of Bologna, Istituto Ortopedico Rizzoli, Bologna, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Angelini
authors.affiliation: Department of Orthopedics, University of Bologna, Istituto Ortopedico Rizzoli, Bologna, Italy.
authors.forename: D
authors.initials: D
authors.lastname: Barastegui
authors.affiliation: Anatomy and Pathological Histology Unit, Istituto Ortopedico Rizzoli, Bologna, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Gambarotti
authors.affiliation: Department of Orthopedics, University of Bologna, Istituto Ortopedico Rizzoli, Bologna, Italy.
authors.forename: P
authors.initials: P
authors.lastname: Ruggieri
mesh_terms: D017024:Chemotherapy, Adjuvant / Q000379:methods*; D003131:Combined Modality Therapy / Q000379:methods; D057210:Delayed Diagnosis; D018450:Disease Progression; D017809:Fatal Outcome; D005500:Follow-Up Studies; D006225:Hand / Q000473:pathology / Q000601:surgery; D006801:Humans; D007890:Leiomyosarcoma / Q000175:diagnosis / Q000473:pathology / Q000628:therapy*; D008175:Lung Neoplasms / Q000556:secondary; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis / Q000473:pathology / Q000628:therapy; D009367:Neoplasm Staging; D010166:Palliative Care; D019651:Plastic Surgery Procedures / Q000379:methods*; D012086:Reoperation; D012983:Soft Tissue Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000628:therapy*; D014057:Tomography, X-Ray Computed