LEIOMYOSARCOMA OF THE REMNANT STOMACH ELEVEN YEARS AFTER UNDERGOING A DISTAL GASTRECTOMY FOR GASTRIC CARCINOMA-A CASE REPORT
| Autor: | Naoki Mori, Tadashi Horimi, Kouiti Terada, Takahiro Okabayashi, Morita S |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
Leiomyosarcoma
medicine.medical_specialty Short gastric arteries business.industry medicine.medical_treatment digestive oral and skin physiology Enucleation Hypervascularity Anastomosis medicine.disease Surgery Metastasis medicine.anatomical_structure medicine.artery medicine Billroth I business Lymph node |
| Zdroj: | Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association). 61:949-953 |
| ISSN: | 1882-5133 1345-2843 |
| Popis: | Cases of leiomyosarcoma of the remnant stomach are very rare, and only thirty-two have been reported in Japan. A 62-year-old woman who had undergone a distal gastrectomy (Billroth I) for gastric carcinoma 11 years previously was admitted with anorexia. Submucosal tumor of the remnant stomach was diagnosed by gastrointestinal series. An abdominal CT-scan showed a huge irregularly enhanced tumor, and a low density area in the liver was suspected metastasis. Angiography of the celiac axis demonstrated a tumor staining with hypervascularity, supplied by the short gastric artery and the left hepatic artery. A resection of the total remnant stomach was performed with lymph node dissection, splenectomy, distal pancreatectomy (body-tail), cholecystectomy, resection of the lateral segment of the liver, enucleation of the tumor located anterior segment of the liver and anastomosis of Roux-en Y method. The resected tumor measuring 20×15×12cm in size showed growth extragastric. Histological findings revealed leiomyosarcoma of the remnant stomach with liver metastasis. |
| Databáze: | OpenAIRE |
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