Korean J Gastroenterol.  2008 Mar;51(3):194-198.

A Case of Primary Leiomyosarcoma of the Liver Presenting with Acute Bleeding

Affiliations
  • 1Department of Internal Medicine, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea. yousunk69@korea.com

Abstract

Leiomyosarcoma is a rare tumor of the liver. It usually arises from many other organs including uterus, gastrointestinal tract, retroperitoneum, and soft tissues. Primary hepatic leiomyosarcoma progresses very slowly and is not associated with chronic liver disease. When the tumor is detected early enough to be treated by operation, the prognosis is favorable. While several cases of primary hepatic leiomyosarcoma have been reported in Korea, there was no case associated with acute bleeding. We report a 80-year old male patient with huge primary hepatic leiomyosarcoma, who presented with acute bleeding and IVC obstruction. The patient was treated by embolization and IVC stenting.

Keyword

Leiomyosarcoma; Liver; Embolization; IVC stent

MeSH Terms

Acute Disease
Aged, 80 and over
Balloon Occlusion
Hemorrhage/*diagnosis
Humans
Leiomyosarcoma/blood supply/*diagnosis/pathology
Liver Neoplasms/blood supply/*diagnosis/pathology
Male
Stents
Tomography, X-Ray Computed
Tumor Markers, Biological
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