TY - JOUR AR - SCR-2021-1-102 TI - Primary Leiomyosarcoma of the Lumbar Spine: A Case Report and Literature Review AU - Eric , Luis AU - Vasanthie , Balakrishnan AU - Zainur Anuar bin Kamarul , Bahrin AU - Han Sim , Lim AU - Phaik Shan , Khoh AU - Marinah Aishah , Bleasal AU - Joey , Ong AU - Saw Le , Er AU - Zuklifee, Osman JO - Surgical Case Reports PY - 2021 DA - Thu 14, Jan 2021 SN - 2613-5965 DO - http://dx.doi.org/10.31487/j.SCR.2021.01.02 UR - https://www.sciencerepository.org/primary-leiomyosarcoma-of-the-lumbar-spine-a-case-report_SCR-2021-1-102 KW - Leiomyosarcoma, lumbar, spine, immunohistochemical staining, total en-bloc surgery AB - 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.