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2017, Volume 33, Number 3, Page(s) 244-247
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DOI: 10.5146/tjpath.2014.01257 |
Subcutaneous Leiomyosarcoma Metastasized to the Lymph Nodes Involved with Small Lymphocytic Lymphoma / Chronic Lymphocytic Leukemia |
Ayfer KAMALI POLAT1, Atilla SORAN2, Amal KANBOUR-SHAKIR3, Howard EDINGTON2 |
1Department of General Surgery, Ondokuz Mayıs University, Faculty of Medicine, SAMSUN, TURKEY
2Departments of Surgical Oncology, Pittsburgh University, UPMC, Pittsburgh PA, USA
3Departments of Pathology, Pittsburgh University, UPMC, Pittsburgh PA, USA |
Keywords:
Leiomyosarcoma, Chronic lymphocytic leukemia, Lymph node, Metastasis |
Herein, we present a case of a 76-year-old Caucasian man with
a very large fungating, ulcerating mass, involving the right neck
and parotid area, which developed while he was being treated for
chronic lymphocytic leukemia/small lymphocytic lymphoma.
Resection of the fungating right neck tumor, right modified radical
neck dissection, and right superficial parotidectomy with flap
reconstruction were performed. The final pathological diagnosis
was high-grade leiomyosarcoma of the skin and the subcutaneous
tissue, with invasion into the skeletal muscle, skin, and soft tissue.
Additionally, the sarcoma had metastasized to the lymph nodes
that were involved diffusely by lymphoma. The most interesting fact
for this case is coincidence of three rare occurrences which were
soft tissue sarcomas of subcutaneous leiomyosarcoma form and its
metastasis to same lymph nodes that were involved with lymphoma.
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