Main leiomyosarcoma of the backbone handled with whole en bloc spondylectomy: the primary case in Thailand-a case report and literature assessment.
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 one of the 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, major leiomyosarcoma of the backbone is extraordinarily uncommon. Solely few instances have been reported. Nevertheless, the remedy and outcomes stays controversial. Due to this fact, the target of this case report is as an example the administration of this extraordinarily uncommon illness through the use of whole en bloc spondylectomy (TES) process, which is one of an acceptable possibility for surgical resection of the spinal tumors. On this examine, we introduced an uncommon case of a 61-year-old feminine, who was recognized as major 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 scientific final result remained in good situation and no indicators of native recurrence. In conclusion, major leiomyosarcoma of the backbone is a particularly uncommon and tough to analysis. Immunohistochemistry research are crucial for affirmation of the analysis. Commonplace remedy stays controversial. Nevertheless, surgical resection continues to be remedy of selection. Some of the efficient surgical choices is TES, which give the higher final result and decrease native recurrence, if point out.
PMID: 29354752 [PubMed]