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Subperiosteal leiomyosarcoma of the tibia

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Abstract

Primary leiomyosarcoma of bone is a rare malignant tumor of smooth muscle. We report a case of low-grade subperiosteal primary bone leiomyosarcoma in the tibial diaphysis, which radiologically appeared to be osteoid osteoma. A 35-year-old man presented with a several-year history of a palpable hard nodule in the distal left leg, which had enlarged and become painful over the previous 2 years. Radiographs showed solid periosteal reaction with a well-defined lytic lesion in the posteromedial cortical border of the left tibial diaphysis. Computed tomography demonstrated a small, well-defined lytic lesion, not calcified, in a subperiosteal location, surrounded by solid periosteal bone formation. The lesion was excised en bloc and the histological diagnosis of a low-grade leiomyosarcoma was made. To the best of our knowledge, the surface location of primary bone leiomyosarcoma has not been previously described in the literature.

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Authors and Affiliations

  1. Department of Radiology, Hospital Universitari de Bellvitge, Barcelona, Spain

    J. A. Narváez, E. De Lama & R. Ortega

  2. Department of MR Imaging, Institut de Diagnòstic per la Imatge, Hospital Universitari de Bellvitge, Feixa Llarga s/n. 08907 L’Hospitalet de Llobregat, Barcelona, Spain

    J. A. Narváez

  3. Department of Orthopedic Surgery, Hospital Universitari de Bellvitge, Barcelona, Spain

    F. Portabella

  4. Department of Pathology, Hospital Universitari de Bellvitge, Barcelona, Spain

    E. Condom

Authors
  1. J. A. Narváez
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  2. E. De Lama
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  3. F. Portabella
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  4. R. Ortega
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  5. E. Condom
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Correspondence to J. A. Narváez.

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Narváez, J.A., De Lama, E., Portabella, F. et al. Subperiosteal leiomyosarcoma of the tibia. Skeletal Radiol 34, 42–46 (2005). https://doi.org/10.1007/s00256-004-0838-y

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  • DOI: https://doi.org/10.1007/s00256-004-0838-y

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