Abstract
Leiomyosarcoma is a rare aggressive soft tissue tumor derived from smooth muscle cells usually of uterine, gastrointestinal or soft tissue origin. Ten cases of leiomyosarcomas presenting at various sites were retrospectively reviewed. Four were of uterine origin, three were located in the extremeties involving the thigh, gluteal and perianal region respectively and single case of retroperitoneal origin was found. Two rare cases of scrotal and colonic leiomyosarcoma were also included. Age of the patients ranged from 40-68 years with a male: female ratio of 3:7 respectively. Uterine and retroperitoneal leiomyosarcomas were larger, higher grade, and more commonly associated with synchronous metastases. Although larger and higher grade, retroperitoneal and uterine LMS share similar survival and recurrence patterns with their trunk and extremity counterparts. Presence of metastatic disease remained the most important prognostic factor. Extensive studies including large number of cases need to be done for setting definitive treatment protocols for these aggressive neoplasms
Keywords: Leiomyosarcoma, aggressive, neoplasms, prognosis.
References
- Miettinen M, Fetsch JF. “Evaluation of biological potential of smooth muscle tumours.” Histopathology., 48:97–105,2006.
- Clary BM, DeMatteo RP, Lewis JJ, Leung D, Brennan MF. “ Gastrointestinal stromal tumors and leiomyosarcoma of the abdomen and retroperitoneum:a clinical comparison." Ann Surg Oncol., 8:290-9, 2001.
- Gladdy RA, Qin LX, Moraco N, Agaram NP, Brennan MF, Singer S. “Predictors of Survival and Recurrence in Primary Leiomyosarcoma.” Ann Surg Oncol., 20(6): 1851-7, 2013.
- Gurram MK, Pulivarthi S, McGary CT, Defillo A. “Brain and multiorgan metastases from uterine leiomyosarcoma.” Tumori., 100-4, 2004.
- Miyajima K, Oda Y, Oshiro Y, et al: “Clinicopathological prognostic factors in soft tissue leiomyosarcoma: A multivariant analysis.” Histopathology., 40:353-9, 2002.
- Catton C, Jewett M, O’Sullivan B, Kandel R. “Paratesticular sarcoma: failure patterns after definitivelocal therapy.”The Journal of Urology., 161: 1844-7, 1999.
- McKee MD, Liu DF, Brooks JJ, Gibbs JF, Driscoll PL, Kraybill WG. “The Prognostic Significance of Margin Width for extremity and trunk sarcoma.” Journal of Surgical Oncology., 85: 68-76, 2004.
- Momtahen S, Curtin J, Mittal K. “Current Chemotherapy and Potential New Targets in Uterine Leiomyosarcoma”. J Clin Med Res., 8:181-9, 2016.
Corresponding Author
Dr Vipul Bansal
Department of Radiation Oncology, Regional Cancer Centre,
Pt BD Sharma University Of Health Sciences
Rohtak, Haryana, India
Telephone No. 9718772333, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.