title: [Gastric leiomyoblastoma: literature review and report of a case].
abstract: Leiomyoblastoma is a rare, smooth muscle tumor of the stomach that occurs chiefly in the antrum. We present the case of a 51 year old man suffering from asthenia and mild upper abdominal pain. Investigations showed a big exculcerated tumor of the lesser gastric curvature. He underwent a subtotal gastrectomy for a non-metastasizing leiomyoblastoma, grade 1. But already 5 months later, he developed an invasive non-resectable local recurrence of high grade malignancy and died 3 month after a second look. Those tumors affect middle-aged patients who present usually upper gastrointestinal bleeding or peptic ulcer-like symptoms. Although the large majority of leiomyoblastoma are benign, malignancy occurs in up to 10% of cases. A large surgical resection of the tumor (including the total thickness of the gastric wall) or a partial gastrectomy is recommended.
authors.affiliation: Service de chirurgie générale, Hôpital cantonal Fribourg.
authors.forename: K
authors.initials: K
authors.lastname: Nassiopoulos
authors.forename: A
authors.initials: A
authors.lastname: Stockhammer
authors.forename: P
authors.initials: P
authors.lastname: Hahnloser
authors.forename: P
authors.initials: P
authors.lastname: Petropoulos
authors.forename: C
authors.initials: C
authors.lastname: Ruchti
mesh_terms: D006801:Humans; D018230:Leiomyoma, Epithelioid / Q000175:diagnosis / Q000601:surgery; D008297:Male; D008875:Middle Aged; D013274:Stomach Neoplasms / Q000175:diagnosis / Q000601:surgery; D014057:Tomography, X-Ray Computed