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  • Title: [Low grade pulmonary sarcoma preceding the discovery of a uterine primary].
    Author: Staub E, Ranty ML, Genevois A, Debled M, Marpeau L, Peillon C, Nouvet G, Thiberville L.
    Journal: Rev Mal Respir; 2003 Jun; 20(3 Pt 1):437-41. PubMed ID: 12910120.
    Abstract:
    INTRODUCTION: Low grade pulmonary sarcomas are very rare tumours. We report the case of a low grade sarcoma of the lung occurring two years prior to the finding of a uterine primary. CASE REPORT: Complete surgical excision of a low grade pulmonary sarcoma was performed. The initial search for dissemination was negative. Two years later a follow-up scan discovered a uterine mass as well as a para-aortic shadow that proved to be the primary tumour (low grade uterine sarcoma) and a metastasis. CONCLUSION: This is the second case of a pulmonary metastasis discovered before a primary low grade uterine sarcoma. The first was found during the investigation of a pulmonary sarcoma. The main differential diagnosis to consider is metastatic leiomyosarcoma. In both cases their finding justifies the search for a uterine primary by immunohistochemical examination for oestrogen and progesterone receptors as well as pelvic ultrasound or even magnetic resonance imaging.
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