Lung metastases from uterine sarcoma

Case contributed by Dr Bruno Di Muzio


Patient with uterine leiomyosarcoma follow-up.

Patient Data

Age: 77
Gender: Female

Chest X-ray

Modality: X-ray

Large pulmonary nodules distributed in the left lung.

CT Chest

Modality: CT

Large pulmonary nodules distributed in the left lung.

Case Discussion

This case illustrates metastatic disease to the lungs. The abdomen and pelvis CT did not demonstrate para-aortic or intraperitoneal involvement. 

Uterine sarcoma metastasis ere demonstrated to most frequently involve the peritoneal cavity and omentum (~60%), followed by the lung (~50%), pelvic lymph nodes (~40%), para-aortic lymph nodes (38%), and liver parenchyma (34%) 1

The study showed also that the presence of lung metastasis was not associated with pelvic or para-aortic nodes metastasis or intraperitoneal disease. Metastasis to other distant sites including the brain, heart, kidney, and bone were independent of pelvic and para-aortic nodal metastasis or intraperitoneal disease 1.

Hematogenous metastasis best explains this metastatic pattern 1.

PlayAdd to Share
Full screen case
Case with hidden diagnosis
Full screen case with hidden diagnosis

Case Information

rID: 19428
Diagnostic certainty: Almost Certain
System: Gynaecology
Inclusion in quiz mode: Included

Updating… Please wait.


Error Unable to process the form. Check for errors and try again.

Alert_accept Thank you for updating your details.