Management of lower limbs leiomyosarcoma: A case report

Abstract

We report the case of a woman referred to our rehabilitation department who presented a soft tissue tumour, a proximal third tibia leiomyosarcoma. It’s analyzed how the diagnosis was made, the treatment for tumour and its sequelae and the follow up period, by doing an update of the scientific evidence in this tumour management. This tumour is a subtype in soft tissue sarcomas. These are rare tumours that arise mostly from mesenchymal tissues and leiomyosarcoma is the fourth in frequency (12%). Although they can appear in any location, 40% cases have their origin typically in extremities. Sarcomas in extremities are characterized by a painless mass, incidentally discovered by the patient, the doctor or by performing an ultrasound. Conservative surgery is considered the main treatment for this soft tissue sarcoma, avoiding radical surgeries which don’t achieve survival results. Radiotherapy and adjuvant chemotherapy are used both with surgery to prevent local recurrence and metastases. Pathology and imaging tests (ultrasounds, CT and MRI) will be fundamental for the staging, for therapeutic decisions to be made and for monitoring possible local recurrences or regional or systemic metastases. Correspondence to: Cuenca-González Concepción, Universidad Complutense, Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Physical Medicine and Rehabilitation Service, Hospital Clínico San Carlos, Madrid, Spain, Tel: +34 91 330 36 03; E-mail: cuchacuenca@gmail.com