Abstract
A 32-year-old woman was admitted with a complaint of left back pain. Her chest X-ray showed a 7.5×5.7 cm tumor shadow in the upper left lung field. Chest CT showed an intrathoracic mass adjacent to the chest wall.
Transcutaneous needle biopsy showed leiomyosarcoma. A wide en bloc excision of the chest wall was performed including the 3rd, 4th and 5th ribs. The chest wall defect was closed with Malex mesh. The histological diagnosis was leiomyosarcoma of the chest wall. The surgical margin was free of the sarcoma. Eight months after the operation, she was found to have a metastatic brain tumor in the left frontal lobe on the routine brain CT scan without any symptoms. The tumor was successfully treated with the stereotactic radiosurgery, resulting in the survival up to 3years and 6months with no evidence of the tumor relapse.
