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J Korean Soc Ther Radiol Oncol > Volume 18(4); 2000 > Article
The Journal of the Korean Society for Therapeutic Radiology and Oncology 2000;18(4): 309-313.
Metastatic Cervical Lymphadenopathy from Uterine Leiomyosarcoma with Good Local Response to Radiotherapy and Chemotherapy
Yoon Kyeong Oh, Hee Chul Park, Keun Hong Kee, Ho Jong Jeon, You Hwan Park, Choon Hai Chung
1Department of Therapeutic Radiology, Chosun University Medical School, Kwangju, Korea.
2Department of Pathology, Chosun University Medical School, Kwangju, Korea.
3Department of Internal Medicine, Chosun University Medical School, Kwangju, Korea.
ABSTRACT
The metastasis of uterine leiomyosarcoma to the neck node has not been reported previously and the radiotherapy has been rarely used for the metastatic lesion of the other sites. We report a case of neck metastasis from a uterine leiomyosarcoma, which developed 10 months after surgery and postoperative pelvic radiotherapy. It also involved the parapharyngeal space, adjacent spine, and spinal canal. The metastatic neck mass was inoperable, and was treated by neck radiotherapy (6,000 cGy) and chemotherapy including taxol and carboplatin. The mass has regressed progressively to a nearly impalpable state. She has never developed spinal cord compression syndrome, and has maintained good swallowing for eight months since the neck radiotherapy and chemotherapy. Since the extensive metastatic neck mass showed good local response to high dose radiotherapy and chemotherapy, both treatments may be considered for an unresectable metastatic leiomyosarcoma.
Key Words: Uterine leiomyosarcoma, Neck metastasis, Radiotherapy, Chemotherapy
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