Uchino M, Endo G, Shibata I, Terao H, Kuramitsu T, Kushida Y, Nakamura N
Department of Neurosurgery, Toho University School of Medicine, Tokyo.
Neurol Med Chir (Tokyo). 1996 Jul;36(7):469-71. doi: 10.2176/nmc.36.469.
A 54-year-old female presented with a rare uterine leiomyosarcoma metastasis to the skull appearing as a gross mass beneath her scalp. She had no neurological or other physical symptoms on admission. Computed tomography and magnetic resonance imaging demonstrated an enhanced dumbbell-shaped mass at the mid-frontal region beneath the scalp. The tumor was totally removed with normal surrounding bone and dura. The histological diagnosis was leiomyosarcoma. Her postoperative course was uneventful, and she received adjuvant chemotherapy. However, multiple distant bone metastases developed 1 year later. Immediate and radical resection of such tumors is recommended.
一名54岁女性因罕见的子宫平滑肌肉瘤转移至颅骨，表现为头皮下的肉眼可见肿块。入院时她没有神经或其他身体症状。计算机断层扫描和磁共振成像显示头皮下中额部有一个增强的哑铃形肿块。肿瘤连同周围正常的骨骼和硬脑膜被完全切除。组织学诊断为平滑肌肉瘤。她术后恢复顺利，并接受了辅助化疗。然而，1年后出现了多处远处骨转移。建议对此类肿瘤进行即刻根治性切除。
