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10.5606/tgkdc.dergisi.2015.11100
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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