그물막과 복막파종을 동반한 회장의 상피양 평활근육종
Ileal epithelioid leiomyosarcoma with omental and peritoneal seeding
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초록
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.
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.
참고문헌 (20)
- Annual report of cancer statistics in Korea in 2009, "The Korea central cancer registry, national cancer center", Ministry of health and welfare, ~ (2011)
- Bilimoria KY, "Small bowel cancer in the United States: changes in epidemiology, treatment, and survival over the last 20years", Ann Surg, 249, pp.63~71 (2009)
- Agaimy A, "True smooth muscle neoplasms of the gastrointestinal tract: morphological spectrum and classification in a series of 85 cases from a single institute", Langenbecks Arch Surg, 392, pp.75~81 (2007)
- Evans HL, "Smooth muscle tumors of the gastrointestinal tract. A study of 56 cases followed for a minimum of 10 years", Cancer, 56, pp.2242~2250 (1985)
- O’Riordan BG, "Small bowel tumors: an overview", Dig Dis, 14, pp.245~257 (1996)
- Conlon KC, "Primary gastrointestinal sarcomas: analysis of prognostic variables", Ann Surg Oncol, 2, pp.26~31 (1995)
- Akwari OE, "Leiomyosarcoma of the small and large bowel", Cancer, 42, pp.1375~1384 (1978)
- Cobrin GM, "Increased diagnostic yield of small bowel tumors with capsule endoscopy", Cancer, 107, pp.22~27 (2006)
- Schwartz GD, "Small-bowel tumors detected by wireless capsule endoscopy", Dig Dis Sci, 52, pp.1026~1030 (2007)
- Megibow AJ, "CT evaluation of gastrointestinal leiomyomas and leiomyosarcomas", AJR Am J Roentgenol, 144, pp.727~731 (1985)
- Ohnishi T, "MR imaging of gastrointestinal leiomyosarcoma", Radiat Med, 9, pp.114~117 (1991)
- Masselli G, "Evaluation of small bowel tumors: MR enteroclysis", Abdom Imaging, 35, pp.23~30 (2010)
- Triester SL, "A meta-analysis of the yield of capsule endoscopy compared to other diagnostic modalities in patients with obscure gastrointestinal bleeding", Am J Gastroenterol, 100, pp.2407~2418 (2005)
- Kameda N, "A prospective, single-blind trial comparing wireless capsule endoscopy and double-balloon enteroscopy in patients with obscure gastrointestinal bleeding", J Gastroenterol, 43, pp.434~440 (2008)
- Katz SC, "Gastrointestinal stromal tumors and leiomyosarcomas", J Surg Oncol, 97, pp.350~359 (2008)
- Blanchard DK, "Tumors of the small intestine", World J Surg, 24, pp.421~429 (2000)
- Skandalakis JE, "Metastasis of malignant smooth muscle tumors of the gastrointestinal tract: pattern and process", J Med Assoc Ga, 80, pp.701~709 (1991)
- Lindberg RD, "Conservative surgery and postoperative radiotherapy in 300adults with soft-tissue sarcomas", Cancer, 47, pp.2391~2397 (1981)
- Fernández-Trigo V, "Sarcomas involving the abdominal and pelvic cavity", Tumori, 79, pp.77~91 (1993)
- Licht JD, "Gastrointestinal sarcomas", Semin Oncol, 15, pp.181~188 (1988)