Patel Jitendra K, Cervellione Kelly L, Sulh Muhammad, Patel Avani A, Gintautas Jonas
Department of Internal Medicine, Jamaica Hospital Medical Center, Jamaica, NY, USA.
Proc West Pharmacol Soc. 2009;52:8-10.
Uterine leiomyosarcoma (ULMS) is an uncommon malignant tumor that accounts for less than one-third of uterine sarcomas and approximately 1% of uterine malignancies. Cases of local and distant ULMS metastasis have been widely reported, especially to the lungs. There have been very few cases, however, of ULMS metastasis to the upper gastrointestinal (GI) tract published in the peer-reviewed literature. Here we describe a case of biopsy-proven ULMS metastasis to the first part of the duodenum, representing the third reported case of its kind. Theories regarding presentation, treatment, clinical course, and outcome of patients with ULMS metastasis to the duodenum are presented.
子宫平滑肌肉瘤（ULMS）是一种罕见的恶性肿瘤，占子宫肉瘤的比例不到三分之一，约占子宫恶性肿瘤的1%。ULMS局部和远处转移的病例已有广泛报道，尤其是肺转移。然而，在同行评审文献中发表的ULMS转移至上消化道（GI）的病例非常少。在此，我们描述一例经活检证实的ULMS转移至十二指肠第一部的病例，这是此类报道的第三例。本文还介绍了关于ULMS转移至十二指肠患者的临床表现、治疗、临床病程及预后的相关理论。
