Laparoscopic Hybrid Right Hepatectomy and Left Lobe Non-Anatomic Resection for Treatment of Bilateral Liver Metastasis from Uterine Leiomyosarcoma: Case Report and Review of the Literature

Gomide LMS, Neto OGS, Correa BLO, Teixeira Lima OA and Renato Pais-Costa S

Department of General Surgery, University of Brasília, Brazil

^*Correspondance to: Sergio Renato Pais-Costa 

 PDF  Full Text DOI: 10.25107/2474-1647.2430

Abstract

Background: Uterine leiomyosarcoma is a rare uterine neoplasm with an extremely aggressive malignancy associated with a poor overall prognosis. When only methacronic hepatic metastases are presented surgical resection may be offered.
Case Report: A 50-years old asymptomatic female patient who had undergone a posterior pelvic exenteration 3 years ago due ULMS, presented in follow-up examinations the appearance of exclusive liver metastases (after 1 year later from her follow-up). The resection of the lesions in single time was successfully proposed and performed by means of right hepatectomy and nonanatomical resection of the left lobe lesion. To date, two years after hepatic resection, she is alive without either symptoms or recurrence.
Conclusion: Although Uterine LMS are rare and aggressive tumors with generally poor prognosis, the surgical treatment of metastatic liver lesions can offer not only a better long-term survival, but also attain more progression free survival, such as we have observed in this case report. The overall management of these cases must always be individualized in order to achieve optimal treatment.

Keywords

Uterine leiomyosarcoma; Hepatic metastasis/surgery; Liver/Surgery; Hepatectomy

Cite the article

Gomide LMS, Neto OGS, Correa BLO, Teixeira Lima OA, Renato Pais- Costa S. Laparoscopic Hybrid Right Hepatectomy and Left Lobe Non- Anatomic Resection for Treatment of Bilateral Liver Metastasis from Uterine Leiomyosarcoma: Case Report and Review of the Literature. Clin Surg. 2019; 4: 2430.