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Arch Hand Microsurg > Volume 22(4); 2017 > Article
Archives of Hand and Microsurgery 2017;22(4):299-304.
Published online December 1, 2017.
DOI: https://doi.org/10.12790/ahm.2017.22.4.299   
Metachronous Sarcoma: A Case of Pleomorphic Leiomyosarcoma in a Patient with a History of Fibrosarcoma
Seung Ki Ahn1, Hwan Jun Choi1, Hyun Ju Lee2
1Department of Plastic and Reconstructive Surgery, Soonchunhyang University Cheonan Hospital, Cheonan, Korea. medi619@hanmail.net
2Department of Pathology, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.
Received: 9 June 2017   • Accepted: 21 June 2017
Abstract
Metachronous cancers were defined as those that were detected after an interval of more than 6 months. The instance of two histologically distinct sarcomas in one patient is very unusual. A 42-year-old woman presented for evaluation of a painless mass in her right axilla area. She gave a history of operation 8 years ago for treating a fibrosarcoma on her right upper arm at local clinic. Eight years ago, the lesion was widely excised. Magnetic resonance imaging revealed a new generated tumor at her right axilla. After a wide surgical resection, we performed anterolateral thigh free flap for cover the defect. Second neoplasm is leiomyosarcoma. These two neoplasms are 2 histologically distinct tumors. There is no report of a case of metachronous soft tissue sarcoma both pleomorphic leiomyosarcoma and fibrosarcoma in upper extremity within one person. We emphasize the importance of considering the possibility of metachronous sarcoma.
Key Words: Pleomorphic leiomyosarcoma, Metachronous sarcoma, Soft tissue sarcoma, Fibrosarcoma, Anterolateral thigh free flap
 
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