Ten-year survival after synchronous resection of liver metastasis from intestinal leiomyosarcoma
✍ Scribed by Hitoshi Kohno; Naofumi Nagasue; Sadao Araki; Tetsuo Kato
- Publisher
- John Wiley and Sons
- Year
- 1981
- Tongue
- English
- Weight
- 394 KB
- Volume
- 47
- Category
- Article
- ISSN
- 0008-543X
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✦ Synopsis
This paper reports on a case of intestinal leiomyosarcoma with metastases to the liver, peritoneum, and omentum, which has been successfully treated with four operations. The initial operation was performed for a primary intestinal leiomyosarcoma and intraperitoneal seeding. Three months later "shelling out" of a liver metastasis was carried out. The patient has subsequently been operated upon twice for abdominal recurrence at six years and nine months, and nine years and six months, respectively. The patient is free from symptoms and is working now, ten years after resection of metastasic leiomyosarcoma of the liver. A review of the literatures has revealed that our patient is the first ten-year survivor after resection of hepatic metastasis of leiomyosarcoma. An aggressive surgery is acceptable in selected patients who have spreading leiomyosarcoma of the bowel.
Cancer 47:1421-1423, 1981.
EIOMYOSARCOMA of the intestine are uncommon
L tumors of all malignancies of the small and large bowel; they may metastasize mostly to the peritoneum, omentum, liver and lung. The most common cause of death is dissemina.ted sarcomatosis.' This paper reports on a ten-year survivor after resection of metastatic leiomyosarcomas of the liver and peritoneum.
Case Report S.K., a 47-year-old Japanese man, was admitted to the Saiseikai Yahata Hospital on September 1, 1969, complaining of gradual enlargement of a right abdominal mass. He showed severe anemia. A hard, smooth, and nontender tumor, measuring 121 sq cm, was palpated at the right lower quadrant. The liver was not palpable. Blood pressure was 120/70, pulse rate 78, and temperature 36.8 C . The blood analyses were as follows: red blood cell count, 403 x lo4; hemoglobin, 8.2 g/100 ml; leukocyte count, 6200.
Barium series revealed an abdominal mass. Chest and abdominal plain films, aortography , and intravenous pyelography showed no abnormalities.