Undifferentiated leiomyosarcoma showing various sarcomatous components with incidental B-cell lymphoma after tumor recurrence
We report a rare case of undifferentiated leiomyosarcoma (LMS) with incidental B-cell lymphoma in a 70- year-old woman. T2-weighted magnetic resonance images revealed a high signal intensity mass measuring 9 × 8cm in the gluteus muscle. The pathological diagnosis of repeated surgery was undifferenti...
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| Veröffentlicht in: | Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association 2002-12, Vol.7 (6), p.698-702 |
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| container_title | Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association |
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| creator | Kanamori, Masahiko Ohmori, Kazuo Nogami, Shigeharu Maeda, Yoshinobu |
| description | We report a rare case of undifferentiated leiomyosarcoma (LMS) with incidental B-cell lymphoma in a 70- year-old woman. T2-weighted magnetic resonance images revealed a high signal intensity mass measuring 9 × 8cm in the gluteus muscle. The pathological diagnosis of repeated surgery was undifferentiated LMS that included various sarcomatous components, such as fibrosarcomatous, rhabdomyosarcomatous, and malignant fibrous histiocytomalike elements. A specimen from a supraclavicular lymph node showed the characteristics of malignant B-cell lymphoma (follicle type). Adjuvant chemotherapy or radiation therapy was not performed because of the patient’s advanced age. The patient died from liver metastasis and dysfunction 5 years 8 months after the initial therapy. This is a rare case of LMS with malignant lymphoma. Considerable debate remains whether the B-cell lymphoma developed incidentally. |
| doi_str_mv | 10.1007/s007760200124 |
| format | Article |
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T2-weighted magnetic resonance images revealed a high signal intensity mass measuring 9 × 8cm in the gluteus muscle. The pathological diagnosis of repeated surgery was undifferentiated LMS that included various sarcomatous components, such as fibrosarcomatous, rhabdomyosarcomatous, and malignant fibrous histiocytomalike elements. A specimen from a supraclavicular lymph node showed the characteristics of malignant B-cell lymphoma (follicle type). Adjuvant chemotherapy or radiation therapy was not performed because of the patient’s advanced age. The patient died from liver metastasis and dysfunction 5 years 8 months after the initial therapy. This is a rare case of LMS with malignant lymphoma. 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T2-weighted magnetic resonance images revealed a high signal intensity mass measuring 9 × 8cm in the gluteus muscle. The pathological diagnosis of repeated surgery was undifferentiated LMS that included various sarcomatous components, such as fibrosarcomatous, rhabdomyosarcomatous, and malignant fibrous histiocytomalike elements. A specimen from a supraclavicular lymph node showed the characteristics of malignant B-cell lymphoma (follicle type). Adjuvant chemotherapy or radiation therapy was not performed because of the patient’s advanced age. The patient died from liver metastasis and dysfunction 5 years 8 months after the initial therapy. This is a rare case of LMS with malignant lymphoma. 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| subjects | Aged Biological and medical sciences Biopsy, Needle Breast cancer Disease Progression Diseases of the osteoarticular system Fatal Outcome Female Humans Immunohistochemistry Leiomyosarcoma Leiomyosarcoma - complications Leiomyosarcoma - pathology Lymphoma, B-Cell - complications Lymphoma, B-Cell - pathology Magnetic Resonance Imaging Malignant lymphoma Medical sciences Muscle Neoplasms - complications Muscle Neoplasms - pathology Neoplasm Recurrence, Local - pathology Neoplasms, Second Primary - pathology Secondary primary tumor Tumors of striated muscle and skeleton |
| title | Undifferentiated leiomyosarcoma showing various sarcomatous components with incidental B-cell lymphoma after tumor recurrence |
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