J Korean Soc Ther Radiol Oncol.  2000 Dec;18(4):309-313.

Metastatic Cervical Lymphadenopathy from Uterine Leiomyosarcoma with Good Local Response to Radiotherapy and Chemotherapy

• Oh YK
• Park HC
• Kee KH
• Jeon HJ
• Park YH
• Chung CH

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.

Keyword

Uterine leiomyosarcoma; Neck metastasis; Radiotherapy; Chemotherapy

MeSH Terms

Carboplatin
Deglutition
Drug Therapy*
Leiomyosarcoma*
Lymphatic Diseases*
Neck
Neoplasm Metastasis
Paclitaxel
Radiotherapy*
Spinal Canal
Spinal Cord Compression
Spine
Carboplatin
Paclitaxel