Tratamento cirúrgico de um leiomiossarcoma do membro inferior

Introduction

The lower limb sarcomas represent the most common location of tumors of the connective tissue and no other treatment proved to be better than surgery. The objective of this paper is to present a case of leiomyosarcoma located in the left thigh of a 59 year old woman.

Case report

The authors describe the case of a 59 year old woman, asymptomatic until January 2013, when a swelling, painless and progressive growth in the left thigh has been identified. No signs of neuro‐vascular compromise. A mass with 10 cm diameter, adhering to the deep planes, without pulsatility, has been identified through physical examination. She had no palpable lymphadenopathy and pulses were present and symmetrical. MRI revealed a solid lesion in intermuscular plane designed along the vascular‐nervous pedicle. The incisional biopsy confirmed a leiomyosarcoma. Together with the Plastic Surgery service a wide resection of leiomyosarcoma was performed followed by reconstruction of the SFA and the FV with interposition of the contralateral great saphenous vein in femoro‐femoral position. The procedure was held without significant complications.

Discussion and conclusion

Leiomyosarcomas are malignant and locally aggressive, therefore the extended resection (no touch no see) has been proved to be the best therapeutic option, as a multidisciplinary approach in order to achieve the cure with functional preservation of the member even with radical resections becomes indispensable.