Metastatic uterine leiomyosarcoma presenting as a breast lump
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It is uncommon to encounter a breast metastasis from an extramammary malignancy and even rarer from a uterine leiomyosarcoma.
We describe the third case report in the medical literature of a breast metastasis from a uterine leiomyosarcoma.
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.
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.
Metastasis to the breast from a non-breast primary is generally a sign of disseminated disease and; thus, a poor prognostic indicator.
KeywordsBreast Leiomyosarcoma Uterine Metastasis
- 1.Toombs BD, Kalisher L (1997) Metastatic disease to the breast: clinical, pathological and radiographic features. AJR Am J Roentgenol 129:673–676Google Scholar
- 2.Cheng-Hung L, Chun-Nan Y (2003) Miin-Fu C Breast metastasis from uterine leiomyosarcoma: a case report. Arch Gynecol Obstet 267:233–235Google Scholar