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Gastric metastasis from a primary renal leiomyosarcoma.

Yodonawa S, Ogawa I, Yoshida S, Ito H, Kato A, Kubokawa R, Tokoshima E, Shimoyamada H - Case Rep Gastroenterol (2012)

Bottom Line: A 73-year-old man visited our hospital suffering from general weakness and intermittent tarry stools.Endoscopy revealed two submucosal tumors in the stomach.These tumors were diagnosed histologically as leiomyosarcoma and distal gastrectomy was performed.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Ibaraki Seinan Medical Center Hospital, Sakai, Japan.

ABSTRACT
Primary leiomyosarcoma of the kidney is rare. Here we report a case of metastasis of this tumor to the stomach. A 73-year-old man visited our hospital suffering from general weakness and intermittent tarry stools. He had undergone right nephrectomy for renal leiomyosarcoma 2 years previously. There had been no local recurrence or distant metastasis in the 2-year follow-up period. Endoscopy revealed two submucosal tumors in the stomach. These tumors were diagnosed histologically as leiomyosarcoma and distal gastrectomy was performed. Subsequent histochemical staining confirmed the diagnosis of gastric metastasis from renal leiomyosarcoma. The patient died due to metastases to the liver and bone 9 months after the operation. To the best of our knowledge, this is the first report of gastric metastasis from primary renal leiomyosarcoma.

No MeSH data available.


Related in: MedlinePlus

Upper gastrointestinal endoscopy revealed two submucosal tumors: a polypoid tumor located at the anterior wall of the middle body (a) and an ulcerated tumor located at the posterior wall of the middle body (b).
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Figure 2: Upper gastrointestinal endoscopy revealed two submucosal tumors: a polypoid tumor located at the anterior wall of the middle body (a) and an ulcerated tumor located at the posterior wall of the middle body (b).

Mentions: The patient visited our hospital due to general weakness, epigastric pain and intermittent tarry stools 2 years after the operation. Physical examination revealed an anemic conjunctiva and abdominal tenderness in the periumbilical area. Laboratory data showed a low hemoglobin level of 4.0 g/dl and transfusion of 4 units of blood was performed. Upper gastrointestinal endoscopy revealed two submucosal tumors: one polypoid tumor 4 cm in diameter located in the anterior wall of the middle body, and another tumor 3 cm in diameter that showed ulceration and was located in the posterior wall of the middle body (fig. 2). Histopathological examination of biopsy samples indicated a leiomyosarcoma.


Gastric metastasis from a primary renal leiomyosarcoma.

Yodonawa S, Ogawa I, Yoshida S, Ito H, Kato A, Kubokawa R, Tokoshima E, Shimoyamada H - Case Rep Gastroenterol (2012)

Upper gastrointestinal endoscopy revealed two submucosal tumors: a polypoid tumor located at the anterior wall of the middle body (a) and an ulcerated tumor located at the posterior wall of the middle body (b).
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC3376334&req=5

Figure 2: Upper gastrointestinal endoscopy revealed two submucosal tumors: a polypoid tumor located at the anterior wall of the middle body (a) and an ulcerated tumor located at the posterior wall of the middle body (b).
Mentions: The patient visited our hospital due to general weakness, epigastric pain and intermittent tarry stools 2 years after the operation. Physical examination revealed an anemic conjunctiva and abdominal tenderness in the periumbilical area. Laboratory data showed a low hemoglobin level of 4.0 g/dl and transfusion of 4 units of blood was performed. Upper gastrointestinal endoscopy revealed two submucosal tumors: one polypoid tumor 4 cm in diameter located in the anterior wall of the middle body, and another tumor 3 cm in diameter that showed ulceration and was located in the posterior wall of the middle body (fig. 2). Histopathological examination of biopsy samples indicated a leiomyosarcoma.

Bottom Line: A 73-year-old man visited our hospital suffering from general weakness and intermittent tarry stools.Endoscopy revealed two submucosal tumors in the stomach.These tumors were diagnosed histologically as leiomyosarcoma and distal gastrectomy was performed.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Ibaraki Seinan Medical Center Hospital, Sakai, Japan.

ABSTRACT
Primary leiomyosarcoma of the kidney is rare. Here we report a case of metastasis of this tumor to the stomach. A 73-year-old man visited our hospital suffering from general weakness and intermittent tarry stools. He had undergone right nephrectomy for renal leiomyosarcoma 2 years previously. There had been no local recurrence or distant metastasis in the 2-year follow-up period. Endoscopy revealed two submucosal tumors in the stomach. These tumors were diagnosed histologically as leiomyosarcoma and distal gastrectomy was performed. Subsequent histochemical staining confirmed the diagnosis of gastric metastasis from renal leiomyosarcoma. The patient died due to metastases to the liver and bone 9 months after the operation. To the best of our knowledge, this is the first report of gastric metastasis from primary renal leiomyosarcoma.

No MeSH data available.


Related in: MedlinePlus