title: Atypical Right Hepatectomy for Liver Metastasis from Ovarian Leiomyosarcoma - A Case Report and Literature Review.
abstract: Ovarian leiomyosarcomas are extremely rare ovarian malignancies, usually associated with poor prognosis in terms of survival. Most often, ovarian leiomyosarcomas are diagnosed in postmenopausal women at an advanced stage of disease, the main symptoms consisting of abdominal pain. We present the case of a 52-year-old patient who was initially submitted to surgery for a large ruptured ovarian tumor in April 2009; at that time, total hysterectomy with bilateral adnexectomy, omentectomy, pelvic and para-aortic lymph node dissection were performed. The histopathological studies revealed the presence of an ovarian leiomyosarcoma. Five years later, the patient was diagnosed with a unique, ruptured liver metastasis and an atypical right hepatectomy was performed. The histopathological studies confirmed the metastatic origin of the lesion. At 2-year-follow-up the patient is still free from recurrent disease.
authors.affiliation: Carol Davila University of Medicine and Pharmacy, Bucharest, Romania nicolae_bacalbasa@yahoo.ro.
authors.forename: Nicolae
authors.initials: N
authors.lastname: Bacalbasa
authors.affiliation: Ilfov County Hospital, Bucharest, Romania.
authors.forename: Cornelia
authors.initials: C
authors.lastname: Taras
authors.affiliation: Fundeni Clinical Institute, Bucharest, Romania.
authors.forename: Carmen
authors.initials: C
authors.lastname: Orban
authors.affiliation: Fundeni Clinical Institute, Bucharest, Romania.
authors.forename: Laura
authors.initials: L
authors.lastname: Iliescu
authors.affiliation: Faculty of Economic Sciences and Public Administration, Stefan cel Mare University, Suceava, Romania.
authors.forename: Ioan
authors.initials: I
authors.lastname: Hurjui
authors.affiliation: Faculty of Economic Sciences and Public Administration, Stefan cel Mare University, Suceava, Romania.
authors.forename: Marcela
authors.initials: M
authors.lastname: Hurjui
authors.affiliation: Faculty of Entrepreneurship, Business Engineering and Management, University Politehnica, Bucharest, Romania.
authors.forename: Nicoleta
authors.initials: N
authors.lastname: Niculescu
authors.affiliation: Faculty of Economics and Business Administration, University of Craiova, Craiova, Romania.
authors.forename: Mirela
authors.initials: M
authors.lastname: Cristea
authors.affiliation: Ponderas Hospital, Bucharest, Romania.
authors.forename: Irina
authors.initials: I
authors.lastname: Balescu
mesh_terms: D005260:Female; D006498:Hepatectomy; D006801:Humans; D007890:Leiomyosarcoma / Q000473:pathology*; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery*; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000473:pathology*; D011859:Radiography
keywords: Ovarian leiomyosarcoma; atypical hepatectomy; hemoperitoneum; liver metastasis