Ensar YEKELER, Mehtap TUNACI, Gülden ACUNAŞ, Adem UÇAR, Yıldırım Fuldem DÖNMEZ, Sezer SAĞLAM

Sternal metastazlı uterus leiomyosarkomu

Uterus leiomyosarkomları zayıf metastaz eğilimi olan nadir yumuşak doku tümörleridir. En sık, akciğerler, karaciğer ve beyine metastaz yaparlar. Bu olgu sunumunda sternuma metastaz yapan nüks uterus leiomyosarkomunun manyetik rezonans görüntüleme bulguları sunulmakatadır.

Sternal metastasis from uterine leiomyosarcoma

Uterine leiomyosarcoma is a rare soft tissue neoplasm having a tendency to the distant metastasis, most commonly to the lung, liver and brain. In this case, magnetic resonance imaging findings of recurrent uterine leiomyosarcoma metastasing to the sternum, which is unusual metastatic site for uterine leiomyosarcoma, are presented.

PDF

___

1) Arici DS, Aker H, Yildiz E, Tasyurt A. Mullerian adenosarcoma of the uterus associated with tamoxifen therapy. Arch Gynecol Obstet 2000; 264:105–107.
2) DiSaia PJ, Creasman WT. Sarcoma of the uterus. In: DiSaia, PJ, Creasman WT (eds). Clinical gynecologic oncology. Mosby-Year Book, St Louis 1993; pp. 194–209.
3) Fujii S. An atlas of MRI with histopathology on smooth muscle tumors of the uterus, Medical View, Partenon Publishing. Tokyo, Japan, 1999; pp. 73-80.
4) Kempson R, Bari W. Uterine sarcomas: classification, diagnosis, and prognosis. Hum Pathol 1970; 1:331–349.
5) Lopez R, Didolkar MS, Karakousis C, Baffi R, Bakamjian V. Problems in resection of chest wall sarcomas. Am Surg 1979; 5: 471-477.
6) Major FJ, Blessing JA, Silverberg SG, Morrow CP, Creasman WT, Currie JL, Yordan E, Brady MF. Prognostic factors in uterine sarcoma: A Gynecologic Oncology Group study. Cancer 1993; 71:1702–1709.
7) McLeod AJ, Zornoza J, Shirkhoda A. Leiomyosarcoma: computed tomographic findings. Radiology 1984; 152:133- 136.
8) Takemori M, Nishimura R, Sugimura K, Mitta M. Thoracic vertebral bone metastasis from uterine leiomyosarcoma. Gynecol Oncol 1993; 51:244-247.
9) Wronski M, de Palma P, Arbit E. Leiomyosarcoma of the uterus metastatic to brain: a case report and a review of the literature. Gynecol Oncol 1994; 54: 237–241.