[Leiomyosarcomas of the stomach: a report of 3 clinical cases and a review of the literature].
Three consecutive malignant smooth-muscle gastric tumor cases are reported. Digestive endoscopy allowed a correct diagnosis in 2 out of 3 cases, when neoplasias were ulcerated, enabling a deep endoscopic biopsy. On the contrary, in the third case the endoscopic diagnosis was a benign leiomyoma and the endoscopic biopsies were completely negative. Even CT scan was not able to reveal the malignant nature of the disease in this patient. Surgical procedures performed were: polar superior gastric resection, Billroth I partial gastric resection and extended total gastrectomy. In one patient, regional lymph nodes were positive for metastases. The patient who died at 6 months from surgery had a large (approximately 12 cm) neoplasia of the gastric fundus.
Forlini
A
A
Cattedra di Semeiotica Chirurgica, II Università degli Studi Tor Vergata, Roma.
Ranucci
A
A
Russo
F
F
Gentileschi
P
P
Germani
P P
PP
Paganelli
C
C
D000328:Adult; D000368:Aged; D005260:Female; D005743:Gastrectomy; D005748:Gastric Fundus; D006801:Humans; D007890:Leiomyosarcoma / Q000473:pathology / Q000601:surgery*; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D013156:Splenectomy; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*
I leiomiosarcomi dello stomaco: presentazione di tre casi clinici e revisione della letteratura.