Metastatic leiomyosarcoma diagnosed after uterine artery embolization

H. E. Stohl Posy, J. C. Elkas, A. V. Yemelyanova, T. P. Diaz-Montes, R. E. Bristow, R. L. Giuntoli

Research output: Contribution to journalArticlepeer-review

Abstract

Uterine artery embolization (UAE) allows treatment of recalcitrant fibroids, but does not provide a surgical specimen. In the rare instance that a uterine mass represents a uterine leiomyosarcoma (LMS), UAE may delay diagnosis. We report a case of a 45-year-old woman who underwent resection of a substernal mass five years after UAE. Pathology demonstrated LMS. She received radiation therapy to the surgical site. Upon recovery, she underwent a hysterectomy and bilateral salpingo-oophorectomy. Pathology demonstrated uterine LMS. She was managed conservatively and is without evidence of disease over two years after excision of her substernal mass. Multiple case reports have described a delay in diagnosis of uterine LMS after UAE. The current case is unique in that it the diagnosis was made based on the presence of a distant metastasis, which occurred years after UAE.

Original languageEnglish (US)
Pages (from-to)199-202
Number of pages4
JournalEuropean Journal of Gynaecological Oncology
Volume30
Issue number2
StatePublished - May 5 2009

Keywords

  • Metastatic disease
  • Uterine artery embolization
  • Uterine leiomyosarcoma

ASJC Scopus subject areas

  • Oncology
  • Obstetrics and Gynecology

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