Korean J Med > Volume 88(6); 2015 > Article
혈액종양
The Korean Journal of Medicine 2015;88(6):724-727.
Published online June 1, 2015.
DOI: https://doi.org/10.3904/kjm.2015.88.6.724   
A Case of Primary Leiomyosarcoma of the Femur
Jae Sung Ahn, Soyon Rhee, Byoung Joo Do, In Young Park, Sung Ho Shin, Jae Hyuk Lee, Hunho Song
Department of Internal Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea
대퇴골에서 발생한 평활근육종 1예
안재성, 이소연, 도병주, 박인영, 신성호, 이재혁, 송헌호
한림대학교 의과대학 강동성심병원 내과
Correspondence: 
Hunho Song, Tel: +82-2-2224-2691, Fax: +82-2-478-6925, Email: hunhos@hallym.or.kr
Received: 22 July 2014   • Revised: 4 September 2014   • Accepted: 23 September 2014
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Primary leiomyosarcoma rarely occurs in bone; when it occurs, it is more frequent in middle-aged individuals and frequently metastasizes to the lung. Here, we report a case of primary leiomyosarcoma of the femur in a 47-year-old woman who complained of pain in the left hip. The plain x-ray revealed an osteolytic lesion in the greater trochanter of the femur. The histopathological and immunohistochemical evaluation revealed a moderately differentiated leiomyosarcoma. Computed tomography of the chest and abdomen revealed no other potential primary lesions. The patient was diagnosed with primary leiomyosarcoma of the bone. Although surgical removal was recommended, the patient refused surgery. As an alternative, she was given radiotherapy and chemotherapy. No local progression or distant metastasis has been observed during the 4-year follow-up period.
Key Words: Leiomyosarcoma; Femur; Radiotherapy
주제어: 평활근육종; 대퇴골; 방사선치료


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