Main leiomyosarcoma of the backbone handled with whole en bloc spondylectomy: the primary case in Thailand-a case report and literature overview.
J Backbone Surg. 2017 Dec;three(four):707-714
Authors: Pluemvitayaporn T, Piyaskulkaew C, Kunakornsawat S, Pruttikul P
Leiomyosarcoma is a uncommon kind of malignant mushy tissue tumor and in addition probably the most aggressive mushy tissue sarcomas. It generally happens in uterus, stomach viscera, retroperitoneal house and mushy tissue of the extremities. Main osseous leiomyosarcoma is a uncommon situation. Moreover, main leiomyosarcoma of the backbone is extraordinarily uncommon. Solely few instances have been reported. Nevertheless, the therapy and outcomes stays controversial. Due to this fact, the target of this case report is for example the administration of this extraordinarily uncommon illness by utilizing whole en bloc spondylectomy (TES) process, which is one of an appropriate choice for surgical resection of the spinal tumors. On this research, we introduced an uncommon case of a 61-year-old feminine, who was recognized as main leiomyosarcoma of the twelfth thoracic backbone with liver metastasis, handled with whole en bloc spondylectomy of the twelfth thoracic vertebra adopted by chemotherapy. On final follow-up, 6 months after the surgical procedure, the medical end result remained in good situation and no indicators of native recurrence. In conclusion, main leiomyosarcoma of the backbone is a particularly uncommon and troublesome to analysis. Immunohistochemistry research are crucial for affirmation of the analysis. Commonplace therapy stays controversial. Nevertheless, surgical resection remains to be therapy of selection. Probably the most efficient surgical choices is TES, which give the higher end result and reduce native recurrence, if point out.
PMID: 29354752 [PubMed]