Brain Metastasis of Uterine Leiomyosarcoma: A Case Report and Review of the Literature

作     者：Fernand Nathan Imoumby Yao Christian Hugues Dokponou Franck Kouakou Hajar El Agouri Abad Cherif El Asri Miloud Gazzaz Fernand Nathan Imoumby;Yao Christian Hugues Dokponou;Franck Kouakou;Hajar El Agouri;Abad Cherif El Asri;Miloud Gazzaz

作者机构：Department of Neurosurgery Mohammed V Military Teaching Hospital Rabat Morocco Faculty of Medicine and Pharmacy Mohammed V University Rabat Morocco Department of Anatomy Pathology Mohammed V Military Teaching Hospital Rabat Morocco 

出 版 物：《Open Journal of Modern Neurosurgery》 (现代神经外科学进展（英文）)

年 卷 期：2021年第11卷第2期

页      面：107-113页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Uterine Leiomyosarcoma Brain Metastasis Case Report 

摘      要：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.