Leiomyosarcoma of the uterus is a relatively rare tumor, representing not more than 2 per cent of uterine leiomyomas.1 [Miller and Rogers,2 in a study made at the Massachusetts General Hospital covering fifty years (1876-1926), found an incidence of 1.4 per cent.] They also described a case in which metastasis to the hip caused spontaneous fracture. Metastasis from leiomyosarcoma is even more rare than the primary tumor. Because the roentgenographic appearance of osteoblastic metastasis from leiomyosarcoma has received little if any emphasis in the published reports, 2 cases in which this diagnosis was proved are presented.
REPORT OF CASES
—A 46 year old district nurse was first seen at the Massachusetts General Hospital in 1935 because of pain in the back and several palpable masses in the abdomen and pelvis. Three years before, a total hysterectomy had been performed in another hospital, and an intramural leiomyosarcoma
ROBBINS LL. ROENTGENOLOGIC DEMONSTRATION OF SPINAL METASTASES FROM LEIOMYOSARCOMA OF THE UTERUS. Arch Surg. 1943;47(5):463-467. doi:10.1001/archsurg.1943.01220170046003