Uterine Leiomyosarcoma Presenting with Neurological Symptoms: Differential Diagnosis

ABS TRACT Bra in me tas ta ses of ute ri ne le i om yo sar co ma are very ra re. In this re port, we pre sent a ra re ca se of ute ri ne le i om yo sar co ma with bra in me tas ta sis who pre sen ted with dip lo pi a, he a dac he and right fa ci al pa re sis. Cra ni al mag ne tic re so nan ce ima ging (MRI) re ve a led mass le si ons that oc cupy the right si de of the pons and the left in fe ri or part of the fron tal lo be. Who le- body 18 F-FDG PET-CT scan sho wed hyper me ta bo lic ac ti vity in the ute ri ne mass, lungs, pe ri to ne al ca vity, right glu te us musc le and in the right pos te ri o la te ral por ti on of the pons. Tru-cut bi opsy was per for med from the ute ri ne mass. His to pat ho lo gi cal exa mi na ti on of the bi opsy spe ci men re ve a led ple o morp hic le i om yo sar co ma. Ini ti al pre sen ta ti on of ute ri ne le i om yo sar co ma with ne u ro lo gi cal symptoms is very ra re.