Revista de columna vertebral y neurocirugía

Combined Treatment Approach for Rare Occipito- Cervical Spinal Lesions: Leiomyosarcoma

Douglas Nestorovski BS, Andrew H Milby, Pallavi Gopal,Lachlan J Smith, Harvey E Smith and Neil R Malhotra

Combined Treatment Approach for Rare Occipito-Cervical Spinal Lesions:Leiomyosarcoma

Leiomyosarcoma, a rare malignant tumor arising from smooth muscle, has rarely been reported to occur in association with spinal involvement. The treatment approach depends on tumor characteristics, staging, and presenting symptoms, and may include surgery with or without adjuvant radiation and chemotherapy. We present a case of primary leiomyosarcoma at the craniocervical junction in a 65 year old female treated by suboccipital craniectomy for tumor debulking followed by proton radiotherapy.