Lobectomy for Metastatic Leiomyosarcoma of the Uterus

The scarcity of reported cases of pulmonary resection performed for metastatic leiomyosarcoma of the uterus prompted us to report this case. A review of the literature reveals only three previous instances in which pulmonary resection was carried out for this condition. Report of a Case A 53-year-old woman was admitted to the Parkview Memorial Hospital, Fort Wayne, Ind., Oct. 2, 1956, because of a density in the right lower lobe, discovered on a routine roentgenogram of the chest (fig. 1). The patient related that a hysterectomy had been performed in 1954. Pathological examination of the uterus at that time revealed the presence of fibroids and a leiomyosarcoma. Microscopic review of this tissue substantiated the previous diagnosis of leiomyosarcoma (fig. 2). A roentgenogram of the chest at the time of the hysterectomy was negative. Physical examination, at the time of admission, disclosed a well-developed, well-nourished, ambulatory woman in no apparent distress.