TITLE:
Brain Metastasis of Uterine Leiomyosarcoma: A Case Report and Review of the Literature
AUTHORS:
Fernand Nathan Imoumby, Yao Christian Hugues Dokponou, Franck Kouakou, Hajar El Agouri, Abad Cherif El Asri, Miloud Gazzaz
KEYWORDS:
Uterine Leiomyosarcoma, Brain Metastasis, Case Report
JOURNAL NAME:
Open Journal of Modern Neurosurgery,
Vol.11 No.2,
April
27,
2021
ABSTRACT: The metastases of uterine leiomyosarcoma to the brain are exceptional and such cases are seldomly reported in the literature. The diagnosis is based on CT and brains MRI findings, in association with a gynecological history of cancer. Their management still stays without guidelines, and the surgical total resection is known to be the only way to influence positively the prognosis and save patient lives. We report a rare case of a 46 years old woman who underwent a hysterectomy and bilateral salpingo-oophorectomy 5 years earlier and presented with the right hemiparesis and whose CT scan and MRI of the brain showed cerebral lesions related to brain location of uterine leiomyosarcoma. The patient underwent surgery for gross total tumor resection, followed by adjuvant radiotherapy, and was doing well after surgery. Three months later she was admitted for recurrences and died after two months of palliative care.