Trede K, Blessing H, Ali S
Chirurgische Abteilung, Kantonsspital Glarus.
Swiss Surg. 1997;3(1):17-20.
Leiomyosarcomas of the small bowel are quite rare. These tumors are mostly located in the jejunum distal of the duodeno-jejunal flexure. The non-metastasizing leiomyosarcomas have a good prognosis, according to the literature. The adequate surgical treatment is the resection of the small bowel. Chemotherapy is discussed if there is evidence of metastatic disease. For the diagnosis of leiomyosarcomas tumor markers have no significance. We report the case of a 79 years old patient with a leiomyosarcoma of the jejunum who was admitted as an emergency with an acute abdomen and underlying chronic anaemia. This case demonstrates the often unspecific symptoms and characteristics of leiomyosarcomas.
小肠平滑肌肉瘤相当罕见。这些肿瘤大多位于十二指肠空肠曲远端的空肠。根据文献，非转移性平滑肌肉瘤预后良好。适当的手术治疗是切除小肠。如果有转移疾病的证据，则讨论化疗。肿瘤标志物对平滑肌肉瘤的诊断无意义。我们报告一例79岁空肠平滑肌肉瘤患者，因急腹症和潜在的慢性贫血作为急诊入院。该病例展示了平滑肌肉瘤常见的非特异性症状和特征。
