A RESECTED CASE OF LIVER METASTASIS FROM LEIOMYOSARCOMA OF THE STOMACH 10 YEARS AFTER GASTRECTOMY

Autor: Shinji Waki, Hideo Kida, Naoki Nishiwaki, Kazuhiro Kanda, Kazuyuki Narita, Masayuki Uchimura, Shigeto Maeda, Hidenobu Soejima
Rok vydání: 1993
Předmět:
Zdroj: The journal of the Japanese Practical Surgeon Society. 54:1553-1557
ISSN: 0386-9776
DOI: 10.3919/ringe1963.54.1553
Popis: Leiomyosarcoma of the stomach is rare and represents 0.1-1.5% of all tumors of the stomach. It often metastasizes to the liver in a frequency of 20-30%. This time a patient with liver metastasis from gastric leiomyosarcoma 10 years after gastrectomy which was able to be resected was experienced. A 74-year-old man was admitted to the hospital because of general fatigue. There was a previous history of undergoing total gastrectomy for a 7 cm leiomyosarcoma of the stomach and a cancer lesion of IIc in the pylorus 10 years before. CT, MRI and angiography on adomission revealed that he had a metastasis in the anterior superior segment of the liver. Anterior segmentectomy of liver was performed. There are few reports on resected cases of the stomach, but survivors for more than 12 months are included, incicating a relatively favorable prognosis. It is a fact that leiomyosarcomas do not respond to any chemotherapy and radiotherapy, where if we encounter a resectable case, aggressive attitude for resection would be recommended.
Databáze: OpenAIRE