Leiomyosarcoma metastatic to the brain with prolonged survival.

A case of uterine leiomyosarcoma with cerebral and pulmonary metastasis is presented. The patient underwent chemotherapy and multiple surgical procedures, including three craneotomies for resecting cerebral metastasis. More than four years of survival with good quality of life were obtained. An aggressive surgical therapy in the rare cases of cerebral metastasis of leiomyosarcoma may be justified.