Publication:

Uterine leiomyosarcoma metastasizing to multiple sites: a rare presentation

Uterine leiomyosarcoma is a rare malignant neoplasm which has a dismal outcome especially when associated with widespread metastasis. It shows early metastasis primarily to the lungs, peritoneal cavity, bones, pelvic and para-aortic lymph nodes. We report simultaneous metastasis to the scalp, breast and soft tissue from leiomyosarcoma arising in the uterine broad ligament. Leiomyosarcoma poses a diagnostic difficulty at the metastatic site, especially when the primary site is unknown. Correct tumor typing and separating a primary from a metastatic one is important because of the different treatment modalities for both. Fine Needle Aspiration Cytology (FNAC) has emerged as an indispensable preliminary modality in investigating the metastatic disease and therefore cytomorphological recognition of the tumor presumes a great significance.