Primary gastric rhabdomyosarcoma. Case report.

Rhabdomyosarcomas are rare and malignant tumors. There have been reported two histological types of gastric rhabdomyosarcomas, the pleomorphic and embryonal cell types. We report the case of a 53-year-old male with endoscopic diagnosis of a Bormann type III ulcer which revealed a gastric primary rhabdomyosarcoma. Ultrasound showed two liver lesions, two hepatic pedicle lymph nodes and a huge primary gastric tumor. CT scan revealed a primary gastric tumor. The patient is submitted to a distal gastrectomy with a Billroth II reconstruction and a resection of the distal liver metastases at segment IV The patient was discharged uneventfully on the eighth postoperative day. The gold standard for a final diagnoses is the immuno-histochemical staining of the endoscopic biopsy. There is very little information on the results of chemotherapy and the surgical treatment is the best choice.