It appears possible that recurrence of leiomyosarcoma may develop many years after presumably complete excision of the primary tumor. In this patient, metastases became symptomatic 18 years after total hysterectomy. It is the fifth case reported in the literature of metastases in a long bone and the second with retro-orbital metastases. One kidney was also extensively involved.
Drake ET, Dobben GD. LEIOMYOSARCOMA OF THE UTERUS WITH UNUSUAL METASTASES. JAMA. 1959;170(11):1294–1298. doi:10.1001/jama.1959.03010110042008
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