title: Rare presentation of small bowel leiomyosarcoma with liver metastases.
abstract: Intraabdominal sarcomas are rare tumours usually diagnosed at an advanced stage. These lesions at presentation are bulky and symptoms are often related to pressure effects on adjacent organs. This case report describes a rare presentation of a small bowel leiomyosarcoma whose initial presentation was free haemorrhage into the abdominal cavity and concomitant liver metastases. This case report also demonstrates that, even with such a rare presentation, an aggressive surgical approach is indicated in this type of tumour and helps a patient with advanced disease to live a few disease-free months with a good quality of life.
authors.affiliation: Dept. of General Surgery, European Institute of Oncology, Milan, Italy. atestori@ieo.it
authors.forename: A
authors.initials: A
authors.lastname: Testori
authors.forename: F
authors.initials: F
authors.lastname: Orsi
authors.forename: G
authors.initials: G
authors.lastname: Mazzarol
authors.forename: G
authors.initials: G
authors.lastname: Viale
authors.forename: L
authors.initials: L
authors.lastname: Marzona
authors.forename: B
authors.initials: B
authors.lastname: Andreoni
mesh_terms: D000008:Abdominal Neoplasms / Q000188:drug therapy / Q000556:secondary; D000970:Antineoplastic Agents / Q000627:therapeutic use; D018450:Disease Progression; D018572:Disease-Free Survival; D017809:Fatal Outcome; D005260:Female; D005335:Fever of Unknown Origin / Q000209:etiology; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D007580:Jejunal Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D007890:Leiomyosarcoma / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000556:secondary* / Q000601:surgery; D008113:Liver Neoplasms / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000556:secondary* / Q000601:surgery; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D011788:Quality of Life
chemical_list: D000970:Antineoplastic Agents