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Recurrent cutaneous leiomyosarcoma
Author(s) -
Wascher Robert A.,
Lee Margaret Y. T.
Publication year - 1992
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(19920715)70:2<490::aid-cncr2820700218>3.0.co;2-f
Subject(s) - leiomyosarcoma , medicine , wide local excision , soft tissue , lesion , radiology , surgery
Background . Soft tissue sarcomas comprise approximately 0.7% of all malignant neoplasms. Superficial leiomyosarcoma, a rare malignant lesion, constitutes 4.0‐6.5% of all soft tissue sarcomas, an overall incidence of approximately 0.04% among all cancers. Currently, less than 125 cumulative cases of cutaneous and subcutaneous leiomyosarcoma have been reported in the English literature. Methods . The authors report the case of a 70‐year‐old Japanese man with recurrent cutaneous leiomyosarcoma who was treated by wide local excision. A comprehensive literature survey is also presented. Results . The patient is free from recurrence 1 year after wide local excision of a second recurrence of cutaneous leiomyosarcoma. Moreover, superficial leiomyosarcoma can be subdivided into cutaneous leiomyosarcoma and subcutaneous leiomyosarcoma, based on histolopathologic and prognostic differences. Conclusions . The treatment of choice of superficial leiomyosarcoma is wide local excision. Cutaneous leiomyosarcoma is associated with local recurrence only, although subcutaneous leiomyosarcoma undergoes meta‐static spread in 30‐60% of cases, with a 30‐40% mortality rate. Cancer 1992; 70:490–492.