Lung metastases from uterine sarcoma

Case contributed by Dr Bruno Di Muzio

Presentation

Patient with uterine leiomyosarcoma follow-up.

Patient Data

Age: 77
Gender: Female
X-ray

Chest X-ray

Large pulmonary nodules distributed in the left lung.

CT

CT Chest

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.

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Case information

rID: 19428
Case created: 8th Sep 2012
Last edited: 9th Sep 2015
System: Gynaecology
Inclusion in quiz mode: Included

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