RESUMO
A 42-year-old previously healthy woman presented with a 2-month history of recurrent fever and painful swelling on the left thigh. She was given a presumptive diagnosis of cellulitis and an antimicrobial. Because the response was not significant and fever remained moderate to high grade, with the appearance of gradually increasing periorbital edema (Figure 1), the diagnosis was reconsidered, and she was referred to a tertiary referral center for further study.
Assuntos
Edema/diagnóstico , Edema/etiologia , Face/patologia , Linfoma de Células T/complicações , Linfoma de Células T/diagnóstico , Paniculite/complicações , Paniculite/diagnóstico , Adulto , Diagnóstico Diferencial , Feminino , Humanos , Neoplasias Cutâneas/diagnósticoRESUMO
Primary cutaneous leiomyosarcoma (PCL) are soft-tissue sarcoma, arising in the dermis, with or without extension into the subcutis. They are thought to have an indolent course compared to their subcutaneous counterparts, they may recur but rarely metastases. We report the case of a patient with a PCL arising in the anterior trunk wall who developed pulmonary, bone and retroperitoneal metastases 6 years after wide surgical excision of the primary tumor.
