[症例報告]A huge abdominal leiomyosarcoma 6 years after an initial hysterectomy for a leiomyoma : Report of a case with a diagnostic dilemma

Autor: Nakachi, Atsushi, Tamai, Osamu, Shiraishi, Masayuki, Matsumoto, Mitsuyuki, Yamada, Mamoru, Kusano, Toshiomi, Muto, Yoshihiro, First Department of Surgery, Faculty of Medicine, University of the Ryukyus, Okinawa, Japan
Jazyk: angličtina
Rok vydání: 1995
Předmět:
Zdroj: 琉球医学会誌 = Ryukyu Medical Journal. 15(3):143-146
ISSN: 1346-888X
Popis: A case of a huge abdominal leiomyosarcoma 6 years following an initial hysterectomy for a leiomyoma in a 64 year old female, is reported. The patient was referred to the Ryukyu University Hospital with a diagnosis of an abdominal tumor on June 7, 1994. She had a history of hysterectomy at age 58 for a leiomyoma. Abdominal CT scans demonstrated a large, conglomerate tumor with metastatic masses. Exploratory laparotomy revealed two large tumors with extensive peritoneal dissemination. To establish the exact nature of this abdominal tumor with pathologic examination and intend tumor reduction, the largest tumor of the omentum 24×20cm in size was resected. The pathology report was metastatic leiomyosarcoma. This condition led us to review the original uterine slides,which showed similarities with this abdominal tumor, we concluded that the abdominal tumor was a recurrent leiomyosarcoma of uterine leiomyosarcoma. In conclusion, patients with problematic uterine smooth muscle tumors should be observed closely over a long period.
Databáze: OpenAIRE