Primary Gastric Leiomyosarcoma in Young Revealed by a Massive Hematemesis

Introduction Leiomyosarcomas are one of the most common soft tissue sarcomas, usually seen in deep, soft tissues of the extremities and retroperitoneum. Leiomyosarcoma primarily involving the gastrointestinal tract is uncommon. We present here a rare case of gastric leiomyosarcoma revealed by a mass...

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Bibliographic Details
Published in:Journal of gastrointestinal cancer 2009, Vol.40 (1-2), p.69-72
Main Authors: Soufi, Mehdi, Errougani, Abdelkader, Chekkof, Rachid M.
Format: Article
Language:English
Subjects:
Adolescent
Cancer Research
Female
Gastrectomy
Gastroenterology
Hematemesis - etiology
Humans
Immunohistochemistry
Internal Medicine
Leiomyosarcoma - complications
Leiomyosarcoma - pathology
Leiomyosarcoma - surgery
Medicine
Medicine & Public Health
Oncology
Radiotherapy
Stomach Neoplasms - complications
Stomach Neoplasms - pathology
Stomach Neoplasms - surgery
Tomography, X-Ray Computed
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Summary:Introduction Leiomyosarcomas are one of the most common soft tissue sarcomas, usually seen in deep, soft tissues of the extremities and retroperitoneum. Leiomyosarcoma primarily involving the gastrointestinal tract is uncommon. We present here a rare case of gastric leiomyosarcoma revealed by a massive hematemesis in a young woman. Case Report We present a case of primary gastric leiomyosarcoma in a 16-year-old woman who presented with massive hematemesis. Computed tomography scan examination revealed a tumor mass located in the anterior wall of the upper body and protruding into the lumen. The patient was treated by subtotal gastrectomy. The histological examination confirmed the diagnosis of leiomyosarcoma of the stomach. Discussion Primary stomach leiomyosarcoma is rare, accounting for only 1% of gastric tumors. Endoscopic ultrasound and biopsy are helpful in establishing the diagnosis. Surgical resection is the treatment of choice for gastric leiomyosarcomas.
ISSN:1941-6628
1941-6636
DOI:10.1007/s12029-009-9080-0