Beitragstitel | EBV associated Leiomyosarcoma in an immunosuppressed patient at an atypical location – a rare case report |
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Beitragscode | P001 |
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Präsentationsform | Poster |
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Abstract |
Soft tissue sarcomas are very rare tumors representing less than 1% of all forms of cancers. Leiomyosarcomas are a rare subgroup and constitute about 6% of soft tissue sarcomas. We present the case of a 66-year-old female with a painful tumor in the distal left humerus. The patient was immunosuppressed due to chronic renal transplant failure. After the radiological diagnostic work-up was completed (X-ray, CT, MRI), histopathological biopsy results showed a leiomyosarcoma associated with Epstein Barr Virus (EBV). A total “en-bloc” resection of the tumor and internal, double plate fixation of the shortened distal humerus was performed. Postoperatively adjuvant radiotherapy was applied. The postoperative course was uneventful. No recurrence was found over a 2-year follow-up period. Range of motion (ROM) was regained with 110/20/0° of flexion/extension and full pro-/supination. This case highlights the necessity for awareness of cancer development in immunosuppressed patients and adds valuable knowledge to the sparse available literature on the treatment of upper extremity leiomyosarcomas. Key words: Leiomyosarcoma; immunosuppression; Epstein barr virus; EBV |