[Leiomyosarcoma of the stomach].

Leber, Magen, Darm Pub Date : 1996-03-01
H Walther, M Rath, L Leidl, R D Filler
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Abstract

A 35-year old woman showed gastrointestinal bleeding right after normal pregnancy. With endoscopy of the GI-tract with biopsy, ultrasound, conventional radiology of the stomach and computed tomography a gastric leiomyoma was diagnosed. After en-bloc resection of tumor, part of the stomach and spleen, histologic examination and size of tumor changed diagnosis in gastric leiomyosarcoma. Patient died 15 month postoperatively on systemic metastasis. Case report and review of the literature show difficulties in diagnosis and prognosis of gastric leiomyosarcoma.

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[胃平滑肌肉瘤]。
一位35岁的女性在正常怀孕后出现了胃肠道出血。经胃粘膜活检、超声检查、常规胃影像学检查和计算机断层扫描,诊断为胃平滑肌瘤。胃平滑肌肉瘤经肿瘤整体切除、部分胃脾切除、组织学检查及肿瘤大小改变诊断。患者术后15个月死于全身转移。病例报告和文献回顾显示胃平滑肌肉瘤的诊断和预后困难。
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