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- Title
A Case of Rapidly Growing Gastric Leiomyosarcoma: Observations over 18 Months.
- Authors
Haruna, Ken; Shimamoto, Takehiro; Sumii, Koji; Kajiyama, Goro; Hashimoto, Hisakatsu
- Abstract
A gastric leiomyosarcoma in a 68-yr-old female was followed for 18 months by serial roentgenography. On initial x-ray, the lesion was diagnosed as a benign submucosal tumor. However, it rapidly increased in size, with doubling time subsequently calculated as 5 months. After 18 months' periodic observation, a gastrectomy was performed for a suspected malignancy. Histologic examination of the resected tumor revealed a leiomyosarcoma originating in the muscular layer of the stomach. It appears that the poor prognosis of leiomyosareoma is related to its rapid growth; in addition, it is seldom detected at an early stage. Follow-up of the patient with a gastric submucosal tumor should be done first, 6 months after the initial examination, and thereafter, be done continuously according to the patient's condition. It is useful in differentiating a benign from a malignant myogenic tumor.
- Subjects
STOMACH tumors; SMOOTH muscle tumors; RADIOSCOPIC diagnosis; TUMOR growth; GASTRECTOMY; PROGNOSIS
- Publication
American Journal of Gastroenterology (Springer Nature), 1990, Vol 85, Issue 9, p1176
- ISSN
0002-9270
- Publication type
Article