We describe a case of simultaneous resection of lung and liver metastases from uterine leiomyosarcoma, with reference to previous reports. A 51-year-old female was admitted for treatment of nodules shadow in the right lung and in the left lateral side of the liver discovered by computed tomography (CT). She had been treated for uterine leiomyosarcoma 19 months earlier. Segmentectomy of the right S6 of the lung and left lateral segmentectomy of the liver were performed. The tumors pathologically diagnosed as metastases from uterine leiomyosarcoma. After 29 months, a metastasis to the left lung was detected and thoracoscopic resection was performed. The patient died due to multiple metastases from uterine leiomyosarcoma after 36 months.