title: Primary gastric rhabdomyosarcoma. Case report.
abstract: Rhabdomyosarcomas are rare and malignant tumors. There have been reported two histological types of gastric rhabdomyosarcomas, the pleomorphic and embryonal cell types. We report the case of a 53-year-old male with endoscopic diagnosis of a Bormann type III ulcer which revealed a gastric primary rhabdomyosarcoma. Ultrasound showed two liver lesions, two hepatic pedicle lymph nodes and a huge primary gastric tumor. CT scan revealed a primary gastric tumor. The patient is submitted to a distal gastrectomy with a Billroth II reconstruction and a resection of the distal liver metastases at segment IV The patient was discharged uneventfully on the eighth postoperative day. The gold standard for a final diagnoses is the immuno-histochemical staining of the endoscopic biopsy. There is very little information on the results of chemotherapy and the surgical treatment is the best choice.
authors.affiliation: Department of Gastrointestinal Surgery, Hospital Nacional Prof A. Posadas. palermomd@msn.com
authors.forename: Mariano
authors.initials: M
authors.lastname: Palermo
authors.forename: Luis M
authors.initials: LM
authors.lastname: Mastronardi
authors.forename: Rafael H
authors.initials: RH
authors.lastname: García
authors.forename: Ignacio
authors.initials: I
authors.lastname: Solari
authors.forename: Francisco J
authors.initials: FJ
authors.lastname: Tarsitano
mesh_terms: D001706:Biopsy; D006801:Humans; D007150:Immunohistochemistry; D008113:Liver Neoplasms / Q000556:secondary*; D008297:Male; D008875:Middle Aged; D012208:Rhabdomyosarcoma / Q000473:pathology* / Q000556:secondary*; D013274:Stomach Neoplasms / Q000473:pathology*