Korean J Hepatobiliary Pancreat Surg.
1998 Feb;2(1):133-137.
A Case of Intestinal Leiomyosarcoma with Metastasis to the Liver
- Affiliations
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- 1Department of Surgery, Soon Chun Hyang University, Chunan Hospital, Korea.
- 2Department of Pathology, Soon Chun Hyang University, Chunan Hospital, Korea.
Abstract
- Leiomyosarcoma of the intestine is an uncommon malignant tumor of the small and large bowels. It may metastasize mostly to the peritoneum, omentum and liver. We describe a case of a liver metastasis from ileal leiomyosarcoma which was treated by right hepatic lobectomy. Ultrasonography revealed multiple cysts in both lobes of liver and pelvic mass. Computerized tomography of the abdomen revealed that lobulated, marginated, low density mass was noted in ileal loop, and multiple, well-defined, low density masses were identified in both lobes of the liver. The patient underwent exploratory laparotomy and removal of the ileal leiomyosarcoma. One month later, the patient underwent a right hepatic lobectomy and removal of a cystic mass on the liver dome of the left lobe. The patient recovered and was discharged by postoperative day 24.
