Linares Torres P, Vivas Alegre S, Castañón López C, Domínguez Carbajo A B, Honrado Franco E, Espinel Díez J, Jorquera Plaza F, Olcoz Goñi J L
Servicio de Digestivo, Hospital de León, Spain.
Gastroenterol Hepatol. 2002 Aug-Sep;25(7):452-4. doi: 10.1016/s0210-5705(02)70286-0.
Primary leiomyosarcoma of the liver is a rare entity and fewer than 100 cases have been reported in the medical literature. Even more unusual is the association with another previous tumour. We report the case of a 84-year-old man who had been treated for a gastric non-Hodgkin lymphoma two years previously. He presented with a painful mass in the right upper abdomen. An ultrasound scan showed a large mass in the right lobe of the liver and chest radiography showed pulmonary metastases. Liver biopsy was performed and immunohistochemical analysis revealed a malignant leiomyosarcoma. We discuss this case and review the available literature.
原发性肝脏平滑肌肉瘤是一种罕见的疾病,医学文献中报道的病例不到100例。更不寻常的是它与另一种先前存在的肿瘤相关。我们报告一例84岁男性病例,该患者两年前曾接受胃非霍奇金淋巴瘤治疗。他因右上腹疼痛肿块就诊。超声扫描显示肝脏右叶有一个大肿块,胸部X线检查显示有肺转移。进行了肝脏活检,免疫组织化学分析显示为恶性平滑肌肉瘤。我们讨论了该病例并回顾了现有文献。