Irish Journal of Medical Science

, Volume 180, Issue 4, pp 889–891

Metastatic uterine leiomyosarcoma presenting as a breast lump

  • S. Sibartie
  • J. O. Larkin
  • G. Lee
  • J. Fitzgibbon
  • S. O’Reilly
  • D. Richardson
Case Report

DOI: 10.1007/s11845-009-0286-8

Cite this article as:
Sibartie, S., Larkin, J.O., Lee, G. et al. Ir J Med Sci (2011) 180: 889. doi:10.1007/s11845-009-0286-8

Abstract

Background

It is uncommon to encounter a breast metastasis from an extramammary malignancy and even rarer from a uterine leiomyosarcoma.

Aims

We describe the third case report in the medical literature of a breast metastasis from a uterine leiomyosarcoma.

Methods

We report the management of a 56-year-old patient who presented with a breast lump 3 years after hysterectomy for a fibroid uterus. We conducted a literature review of breast leiomyosarcomas.

Results

The excision of the breast mass revealed a low-grade leiomyosarcoma. Radiographic examinations demonstrated metastases to the lung, liver, pelvis and bone. Retrospective pathology review of her uterus identified a small focus of leiomyosarcoma. She received chemotherapy and palliative radiotherapy but passed away within few months.

Conclusion

Metastasis to the breast from a non-breast primary is generally a sign of disseminated disease and; thus, a poor prognostic indicator.

Keywords

BreastLeiomyosarcomaUterineMetastasis

Copyright information

© Royal Academy of Medicine in Ireland 2009

Authors and Affiliations

  • S. Sibartie
    • 1
  • J. O. Larkin
    • 1
  • G. Lee
    • 2
  • J. Fitzgibbon
    • 2
  • S. O’Reilly
    • 3
  • D. Richardson
    • 1
  1. 1.Department of SurgerySouth Infirmary Victoria University HospitalCorkIreland
  2. 2.Department of HistopathologyMercy University HospitalCorkIreland
  3. 3.Department of Medical OncologySouth Infirmary Victoria University HospitalCorkIreland