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Today, major planning agendas in Europe steer the future of territorial organization towards an urban polycentric perspective. The accessibility to services of general interest (SGI), a significant source of spatial inequality in Europe, is one of the key challenges to address. However, instruments needed to support the implementation and monitoring of territorial policy measures regarding the distribution of, and accessibility to SGI are still underdeveloped. Studies generally relate to the (intra)regional and not the national scale. When they do so, they lose local specificity as they often consider the existence/availability of services at a given scale and not the actual capacity to reach their (often just estimated) location through the transport network. In the context of the revision of Portugal's National Plan for Territorial Planning Policies, this paper presents a comprehensive multi-criteria location-based approach for measuring the factual accessibility to a representative range of SGI at the national Portuguese scale. Results are evaluated considering the dichotomy between centrality and periphery, high and low density, and the regional disparities found. High accessibility values do not necessarily mean greater territorial cohesion. Contributions to the development of national planning policies that respond to cohesion challenges are also debated.

Benign metastasizing leiomyoma (BML) is a rarely found entity with few documented cases in the literature, usually occurring in women of reproductive age with a history of myomectomy or hysterectomy. The leiomyomas can metastasize to several organs, the lungs being the most commonly affected. We report a case of a 40-year-old female patient who presented at our institution with low back pain. She underwent a lumbar MR that revealed the presence of an expansive and compressive mass in the body of L4. This mass was biopsied, corresponding to a metastasizing leiomyoma with no malignant characteristics. Subsequently, a CT examination showed several soft tissue density round masses in both lungs, but the most striking feature was a 12 cm mass located in the left iliac crest. There was asymmetrical uterus enlargement, caused by the presence of several leiomyomas. Since the lesions were estrogen and progesterone positive, hormone suppression consisting of oophorectomy followed by anastrozole was the chosen treatment. No signs of progression were observed at the 6-month follow-up. This case is one of the very few that occurred in a woman with no previous uterine intervention, adding further evidence that surgery is not an essential condition for this entity to develop.

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