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Retroperitoneal leiomyosarcoma in a patient with benign metastatic leiomyomatosis: a case report

Benign metastatic leiomyomatosis is a rare, well-differentiated and hormone-dependent pathology. This article presents the case of a 70-year-old female patient with an image suggestive of neoplastic pulmonary nodules on a chest CT scan performed due to the presence of flu-like symptoms, who underwent a biopsy whose histopathological report showed benign metastatic leiomyomatosis. She remained without medical follow-up and after non-specific abdominal symptoms, a new abdominal CT scan showed an expansive retroperitoneal formation measuring 9.0 x 8.4cm. She underwent total surgical resection, which revealed a low-grade leiomyosarcoma in a histopathological and immunohistochemical report.

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Retroperitoneal leiomyosarcoma in a patient with benign metastatic leiomyomatosis: a case report

  • DOI: https://doi.org/10.22533/at.ed.1594832406098

  • Palavras-chave: benign metastatic leiomyomatosis; retroperitoneal neoplasm; sarcoma

  • Keywords: benign metastatic leiomyomatosis; retroperitoneal neoplasm; sarcoma

  • Abstract: Benign metastatic leiomyomatosis is a rare, well-differentiated and hormone-dependent pathology. This article presents the case of a 70-year-old female patient with an image suggestive of neoplastic pulmonary nodules on a chest CT scan performed due to the presence of flu-like symptoms, who underwent a biopsy whose histopathological report showed benign metastatic leiomyomatosis. She remained without medical follow-up and after non-specific abdominal symptoms, a new abdominal CT scan showed an expansive retroperitoneal formation measuring 9.0 x 8.4cm. She underwent total surgical resection, which revealed a low-grade leiomyosarcoma in a histopathological and immunohistochemical report. 

  • Luana Poubel Marques da Silva
  • Aline Durão de Andrade Pequeno
  • Bianca Ribas Lee Santana
  • Caroline Beling
  • Isabella Georges Pelógia Farah Trigo
  • Ana Paula Pontes Jacques
  • Luiza Lopes Ventura Cabral
  • Helena Ribeiro Novaes
  • Yasmin Gabriel dos Santos
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