A rare case of uterine leiomyosarcoma metastasis to the duodenum.

Jitendra K Patel, Kelly L Cervellione, Muhammad Sulh, Avani A Patel, Jonas Gintautas
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Abstract

Uterine leiomyosarcoma (ULMS) is an uncommon malignant tumor that accounts for less than one-third of uterine sarcomas and approximately 1% of uterine malignancies. Cases of local and distant ULMS metastasis have been widely reported, especially to the lungs. There have been very few cases, however, of ULMS metastasis to the upper gastrointestinal (GI) tract published in the peer-reviewed literature. Here we describe a case of biopsy-proven ULMS metastasis to the first part of the duodenum, representing the third reported case of its kind. Theories regarding presentation, treatment, clinical course, and outcome of patients with ULMS metastasis to the duodenum are presented.

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子宫平滑肌肉瘤转移至十二指肠1例。
子宫平滑肌肉瘤(ULMS)是一种罕见的恶性肿瘤,占子宫肉瘤的不到三分之一,约占子宫恶性肿瘤的1%。局部和远处ULMS转移的病例已被广泛报道,尤其是肺。然而,在同行评议的文献中,很少有ULMS转移到上胃肠道的病例。在这里,我们描述了一例活检证实的ULMS转移到十二指肠的第一部分,代表其类型的第三个报告的情况下。本文介绍了有关ULMS转移至十二指肠的表现、治疗、临床过程和预后的理论。
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