article = {SCR-2021-1-102} title = {Primary Leiomyosarcoma of the Lumbar Spine: A Case Report and Literature Review} journal = {Surgical Case Reports} year = {2021} issn = {2613-5965} doi = {http://dx.doi.org/10.31487/j.SCR.2021.01.02} url = {https://www.sciencerepository.org/primary-leiomyosarcoma-of-the-lumbar-spine-a-case-report_SCR-2021-1-102 author = {Eric Luis,Vasanthie Balakrishnan,Zainur Anuar bin Kamarul Bahrin,Han Sim Lim,Phaik Shan Khoh,Marinah Aishah Bleasal,Joey Ong,Saw Le Er,Zuklifee Osman,} keywords = {Leiomyosarcoma, lumbar, spine, immunohistochemical staining, total en-bloc surgery} abstract ={Primary vertebral leiomyosarcoma of the spine is extremely rare. Due to its rarity, the number of studies on pathology, treatment and prognosis is limited. Tissue Biopsy and Immunohistochemical staining techniques provide unequivocal diagnosis of leiomyosarcoma. The mainstay of treatment of spinal leiomyosarcoma is surgery, with or without radiotherapy and embolization. The principles of surgery comprise resection of tumor, decompression and stabilisation of the spinal cord and prevention of tumor recurrence. The Tomita total en-bloc resection is the preferred surgical technique. We hereby present a literature review of spinal leiomyosarcoma and a case report of the first case of a 56-year-old lady in Malaysia who was diagnosed with L3 vertebral leiomyosarcoma and lung metastasis.}