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KMID : 0882420150880060724
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Korean Journal of Medicine
2015 Volume.88 No. 6 p.724 ~ p.727
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A Case of Primary Leiomyosarcoma of the Femur
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An Jae-Sung
Lee So-Yon
Do Byong-Joo
Park In-Young
Shin Sung-Ho
Lee Jae-Hyuk
Song Hun-Ho
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Abstract
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Primary leiomyosarcoma rarely occurs in bone; when it occurs, it is more frequent in middle-aged individuals and frequently metastasizes to the lung. Here, we report a case of primary leiomyosarcoma of the femur in a 47-year-old woman who complained of pain in the left hip. The plain x-ray revealed an osteolytic lesion in the greater trochanter of the femur. The histopathological and immunohistochemical evaluation revealed a moderately differentiated leiomyosarcoma. Computed tomography of the chest and abdomen revealed no other potential primary lesions. The patient was diagnosed with primary leiomyosarcoma of the bone. Although surgical removal was recommended, the patient refused surgery. As an alternative, she was given radiotherapy and chemotherapy. No local progression or distant metastasis has been observed during the 4-year follow-up period.
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KEYWORD
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Leiomyosarcoma, Femur, Radiotherapy
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