%0 Journal Article %T Mesenteric Lymph Node Recurrence of a Primary Colorectal Leiomyosarcoma %A Beauchamp %A Am¨¦lie %A Hajjar %A Roy %A Khullar %A Sharmila %A Latour %A Mathieu %A Schwenter %A Frank %A Sebajang %A Herawaty %J - %D 2020 %R https://doi.org/10.1155/2020/6935834 %X Primary colorectal leiomyosarcoma is an excessively rare entity. It is associated with an aggressive behavior and typically favor hematogenous spread. The current standard of care is surgical resection. A 49-year-old patient presented with a 2-month history of fever. A PET-scan revealed a hypermetabolic mass in the transverse colon, and colonoscopy confirmed a tumor. A right hemicolectomy was performed. Histopathological diagnosis was of a leiomyosarcoma. Fourteen months after the surgery, a follow-up abdominal scan revealed a 2£¿cm mesenteric lymph node that was hypermetabolic on PET-scan. The mesenteric lymph node was resected and histopathology confirmed a leiomyosarcoma metastasis. This case opens the controversy on the management of rare lymph node recurrences in colorectal leiomyosarcoma %U https://www.hindawi.com/journals/cris/2020/6935834/