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Primary leiomyosarcoma or leiomyoma of the public bone?

A case report

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Summary

We report of case of what appeared to be a primary leiomyosarcoma of the left public bone of a female aged 23 years. Forty-eight cases of the tumour have been recorded in the literature since 1944, only two of which were in the pelvis. The tumour in our patient was treated by curettage and there was no recurrence in the following 3 years. The tumour cells showed only mild cellular atypism and 2 to 3 mitoses per 10 high-power fields. These finding suggest that the tumour might be an extremely rare leiomyoma of bone.

Résumé

Le léiomyosarcome primaire d'un os est rare, avec seulement 48 cas publiés dans la littérature depuis 1944, dont deux localisés au bassin. Nous décrivons ici un cas de léiomyosarcome primaire du pubis gauche chez une femme de 23 ans. Fait assez particulier, la patiente n'a présenté aucun signe pathologique durant les trois années suivant le curettage. Les cellules tumorales obtenues lors de celui-ci ne montraient qu'un atypisme cellulaire bénin et 2 ou 3 mitoses par 10 zones de haut rendement. Ces constations suggèrent que cette tumeur pourrait être en fait un léiomyome osseux, ce qui est exceptionnel.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Osaka City University Medical School, 1-5-7, Asahi-machi, Abeno-ku, 545, Osaka, Japan

    K. M. Takami, T. Ishida, M. Ieguchi & Y. Kuniyoshi

  2. Department of Surgical Pathology, Osaka City University Medical School, Japan

    K. Wakasa

  3. Department of Pathology II, Osaka City University Medical School, Japan

    M. Sakurai

Authors
  1. K. M. Takami
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  2. T. Ishida
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  3. M. Ieguchi
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  4. Y. Kuniyoshi
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  5. K. Wakasa
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  6. M. Sakurai
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Takami, K.M., Ishida, T., Ieguchi, M. et al. Primary leiomyosarcoma or leiomyoma of the public bone?. International Orthopaedics 18, 248–251 (1994). https://doi.org/10.1007/BF00188330

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  • DOI: https://doi.org/10.1007/BF00188330

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