ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
Primary pleural leiomyosarcoma presenting as multiple pleural masses
Mehmet Oğuzhan Özyurtkan1, Mustafa Akın2
1Department of Thoracic Surgery, Medical Faculty of İstanbul Bilim University, İstanbul, Turkey
2Department of Pathology, Medical Faculty of Fırat University, Elazığ, Turkey
DOI : 10.5606/tgkdc.dergisi.2015.11100
In this article, we report a 74-year-old female patient with primary pleural leiomyosarcoma presenting with three pleural masses. Two diaphragmatic masses were completely excised via thoracoscopy. A positron emission tomography showed the apical mass as the primary site of origin, which was completely excised via axillary thoracotomy. As surgical margins were negative, patient was not given chemo- or radiotherapy, and is diseasefree after 17 months of follow-up. Surgical resection is the mainstay of treatment of leiomyosarcoma. In nonmetastatic cases or when the surgical margins are negative, postoperative chemo- or radiotherapy may not be required. To our knowledge, there is no case of primary pleural leiomyosarcoma presenting with multiple pleural masses reported in the literature.
Keywords : Leiomyosarcoma; pleura; thoracotomy; videoassisted thoracic surgery
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