Soufi Mehdi, Errougani Abdelkader, Chekkof Rachid M
Surgery E Department, IBN Sina, Rabat, Morocco.
J Gastrointest Cancer. 2009;40(1-2):69-72. doi: 10.1007/s12029-009-9080-0.
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.
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.
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.
平滑肌肉瘤是最常见的软组织肉瘤之一，通常见于四肢深部软组织和腹膜后。主要累及胃肠道的平滑肌肉瘤并不常见。我们在此报告一例年轻女性因大量呕血而发现的罕见胃平滑肌肉瘤病例。
我们报告一例16岁女性原发性胃平滑肌肉瘤，该患者出现大量呕血。计算机断层扫描检查显示肿瘤位于胃体前壁并突入管腔。患者接受了胃次全切除术治疗。组织学检查确诊为胃平滑肌肉瘤。
原发性胃平滑肌肉瘤罕见，仅占胃肿瘤的1%。内镜超声检查和活检有助于确诊。手术切除是胃平滑肌肉瘤的首选治疗方法。
