Primary hepatic leiomyosarcoma:Case report and literature review

查看全文 作　　者：Nairuthya [1]Shivathirthan;Junji [1]Kita;Yukihiro [1]Iso;Hiroyuki [1]Hachiya;Park [1]KyungHwa;Tokihiko [1]Sawada;Keiichi [1]Kubota

机构地区：[1]Second Department of Surgery,Dokkyo Medical University,880 Kita Kobayashi,Mibu,Tochigi 321-0293,Japan

出　　处：《World Journal of Gastrointestinal Oncology》索引2011年第3卷第10期,共5页

摘　　要：Primary hepatic leiomyosarcoma are rare tumors with less than 30 cases reported in the English literature.Non specific presentations and often diagnosis delayed until they reach a large size,is the norm with therapy leading to an often dismal prognosis.A 67-year-old man presented complaining of abdominal pain and a palpable abdominal mass since Jan 2010.Abdominal ultrasonography and abdominal computed tomography revealed a large tumor in the left lobe of the liver.Surgical exploration was undertaken and an extended left hepatectomy with extension onto the dorsal part of segment 8 preserving the MHV with partial resection of segment 6 was undertaken.The weight of the resected specimen was 1300 g of the left lobectomy specimen and 8 g of the segment 6 partial resection specimen.The pathology report confirmed the diagnosis of leiomyosarcoma.On immunohistochemistry,the tumor cells were positive for smooth muscle actin stain.The patient is on regular follow up and is currently 9 mo post resection with no evidence of recurrence.We report the case of a resected primary hepatic leiomyosarcoma and emphasize the need for a global database for these rare tumors to promote a better and broader understanding of this less understood subject. 关键词：PRIMARY HEPATIC LEIOMYOSARCOMA SMOOTH MUSCLE ACTIN SMOOTH MUSCLE Hepatectomy

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Primary hepatic leiomyosarcoma:Case report and literature review

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