Unusual acute onset of pedunculated extragastric leiomyosarcoma. Case report

Geraci, Girolamo and Pisello, Franco and Sciumè, Carmelo and Li Volsi, Francesco and Platia, Lina and Facella, Tiziana and Modica, Giuseppe (2007) Unusual acute onset of pedunculated extragastric leiomyosarcoma. Case report. Il giornale di chirurgia, 28 (6-7). pp. 265-269. ISSN 1971-145X

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Abstract

Introduction: a case report of 25 yrs-old man with pedunculated exogastric leiomyosarcoma (with acute onset) surgically treated is presented. Case report: the patient was operated after clinical, instrumental and blood sample tests. We performed a 5 cm wedge resection of the stomach in continuity with the omentum. Careful inspection revealed neither adenopathy nor metastases. Results: actual complete remission of pathology. Negative 1 year follow up by endoscopy and CT. Discussion: information on gastric leiomyosarcoma (LM), such as prognostic factors, patterns of disease recurrence, and optimal methods of treatment, are derived from limited clinical experience. Although about 25% of the gastric mesenchymal tumors present an exogastric growth, pedunculated exogastric leiomyosarcomas are extremely rare. Lymphatic spread of gastric LM is uncommon, therefore a formal lymph node dissection is not standard surgical management. At present, there is no evidence of intraperitoneal seeding from exogastric leiomyosarcomas. Consequently, a local resection with an adequate margin is sufficient when no invasion to the adjacent structures is observed. Neither the addition of lymphadenectomy nor the wider tumor-free margins of a radical gastrectomy seemed superior to the more conservative local excision Conclusions: further studies are called for to elucidate if exogastric tumours lead to peritoneal seeding and, thereby, affect tumour survival.

Item Type:	Article
Uncontrolled Keywords:	Leiomyosarcoma, Exogastric growth, Local surgical resection; Leiomiosarcoma, Crescita esogastrica, Resezione locale cuneiform
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia
Depositing User:	Chiara D'Arpa
Date Deposited:	04 Oct 2013 15:02
Last Modified:	04 Oct 2013 15:02
URI:	http://eprints.bice.rm.cnr.it/id/eprint/5992

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