Clitoris metastasis from a retroperitoneal leiomyosarcoma: A case report

• 作 者: Suna Cokmert Lutfiye Demir Murat Akyol Ibrahim Vedat Bayoglu Alper Can Ilkay Tugba Unek Filiz Aka Bolat
• 机 构: Department of Medical Oncology, Izmi rAtaturk Training and Research Hospital, 35170 Izmir, Turkey,De
• 出 处: World Journal of Clinical Oncology
• 发表日期: 2014年01期
• 关键词: A case report metastasis metastases intestine stomach extremely tumour originati

Leiomyosarcoma is a rare form of cancer commonly found in the retroperitoneum, uterus, stomach, small intestine and vascular tissue. Surgery with a wide margin of resection is the most effective treatment. Nevertheless, metastasis is common and generally occurs within the first 3 years. The liver and lungs are the most common sites of metastasis in leiomyosarcoma. Other sites of metastasis include bone, spleen, soft tissues and brain. Metastatic tumours of the clitoris are extremely rare. As cited in the literature, the most common cancers that metastasize to the clitoris are breast, bladder, renal and gastric. Here, we report a case of a clitoral mass in a 64-year-old woman who received an operation for retroperitoneal leiomyosarcoma 4 years prior. Mass resection was performed. The pathological diagnosis was a leiomyosarcoma metastasis. The patient also presented with brain and lung metastases at the time of the clitoral metastasis. This is the first case of clitoral and brain metastases originating from a retroperitoneal leiomyosarcoma.

Leiomyosarcoma is a rare form of cancer often found in the retroperitoneum, uterus, stomach, small intestine and vascular tissue. Nevertheless, a large margin of resection is the most effective treatment. Nevertheless, metastasis is common and generally occurs within the first 3 years. The liver and lungs are the most common sites of metastasis in leiomyosarcoma. Other sites of metastasis include bone, spleen, soft tissues and brain. Metastatic tumors of the clitoris are extremely rare. As cited in the literature, the most common cancers that metastasize to the clitoris are breast, bladder, renal and gastric. Here, we report a case of a clitoral mass in a 64-year-old woman who received an operation for retroperitoneal leiomyosarcoma 4 years prior. Mass resection was performed. The pathological diagnosis was a leiomyosarcoma metastasis. The patient also presented with brain and lung metastases at the time of the clitoral metastasis. This is the first case of clitoral and brain metasta. ses originating from a retroperitoneal leiomyosarcoma.