“…It usually occurs de novo, but in some cases, a history of prior irradiation may be present (5). The tumor spreads most commonly by hematogenous route to the lung (6), thyroid (7), liver (6, 8), brain (9), and bone (6,10). Bronchogenic carcinoma, breast carcinoma, melanoma, and gastrointestinal and urinary tract tumors commonly metastasize to skeletal muscle, but it is an unexpected site of metastasis of leiomyosarcoma (5).…”