Journal of Yeungnam Medical Science

Yeungnam University College of Medicine, Yeungnam University Institute Medical Science (영남대 의대 학술지 편집위원회)
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Ileal epithelioid leiomyosarcoma with omental and peritoneal seeding

그물막과 복막파종을 동반한 회장의 상피양 평활근육종

  • Kim, Chung-Hyoun (Department of Internal Medicine, Dongkang Medical Center) ;
  • Kim, Sun-Young (Department of Pathology, Dongkang Medical Center) ;
  • Jung, Chang-Kil (Department of Internal Medicine, Dongkang Medical Center) ;
  • Choi, Jung-Pil (Department of General Surgery, Dongkang Medical Center) ;
  • Seo, Keum-Soo (Department of Radiology, Dongkang Medical Center) ;
  • Lee, Jun-Ho (Department of Internal Medicine, Dongkang Medical Center) ;
  • Choi, Jae-Hyung (Department of Internal Medicine, Dongkang Medical Center)
  • Received : 2016.11.10
  • Accepted : 2017.05.18
  • Published : 2017.06.30
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Abstract

Leiomyosarcoma (LMS) of the small intestine is a rare tumor, accounting for about 1% of all malignant mesenchymal lesions in the gastrointestinal tract. Since small bowel tumors are initially asymptomatic and nonspecific, delayed diagnosis and treatment are common. We found that a 44-year-old male patient who came in for lower abdominal pain had partial obstruction in the small bowel. Multiple ascites and ileal tumors involving peritoneal seeding were observed from his abdominal computed tomography. He was diagnosed as epithelioid LMS involving peritoneal transition after surgical resection, and the outpatient department has planned for a conservative therapy with observation. To the best of our knowledge, ileal epithelioid LMS accompanying a huge omental mass, with a size of 18 cm in dimension, and peritoneal seeding has not yet been reported in Korea. We report this rare case with literature review.

Keywords

References

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