Unusual Manifestation of Metastatic Uterine Leiomyosarcoma

Abstract

With the exception of the female breast, there is ample documentation1-10of the rarity of cutaneous metastases from internal malignant neoplasms. The vast majority of metastatic skin tumors are carcinomas; metastatic sarcomas account for relatively few tumors in that site. We report herein a case of metastatic leiomyosarcoma, located primarily in the uterus, that became evident in an otherwise asymptomatic woman eight years after she had undergone a hysterectomy. Report of a Case A 49-year-old woman had leiomyosarcoma of the uterus in 1972 after she had undergone a hysterectomy for vaginal bleeding (Fig 1). At that time, there was no evidence of tumor extension beyond the uterus and no evidence of metastatic disease. She remained asymptomatic and did not receive any treatment until January 1978, when she suffered a Colles' fracture of the left wrist. A routine chest roentgenogramam at that time showed two nodular densities in the right