Hashimoto Akira, Oda Yasuhiro, Inagaki Yuji, Iguchi Masashi, Wakita Yoshihiro, Shimizu Atsuya, Murata Yasuhiro, Tanaka Jo, Naganuma Tatsushi, Nakano Hiroshi
Department of Internal Medicine, Saiseikai Matsusaka General Hospital.
Nihon Shokakibyo Gakkai Zasshi. 2010 Jul;107(7):1159-66.
A 92-year-old woman was admitted with speech disturbance. She had severe anemia (hemoglobin, 6.3g/dl), and abdominal ultrasonography revealed hepatic portal venous gas and an intra-abdominal tumor. Abdominal computed tomography also revealed an irregularly enhanced intra-abdominal tumor, 32x35mm in diameter, which was surgically resected. The tumor was located in the small intestine. Histopathological examination revealed spindle-shaped atypical cells. Immunological evaluation showed the tumor to be SMA (+), c-kit (-), CD34 (-), S100 (-). The Ki-67/MIB1 labeling index was 2.3%. The tumor was diagnosed as leiomyosarcoma of the small bowel. The patient recovered after surgery and was discharged.
