Extreme long survival of a patient operated with uterine leiomyosarcoma

Leiomyosarcomas of the uterus are rare tumours that recur and metastasize early. Adjuvant chemotherapy or postoperative radiotherapy has not been proven effective in treating it. The most successful therapeutic approach seems to be repeated surgical resection and removal of metastases. The authors presented a case of a female who had metastases resections, both from the abdomen and thoracic cavity, for a total of 10 times following hysterectomy due to leiomyosarcoma of the uterus. The patient is still alive 23 years later following the first surgery.