A case of primary leiomyosarcoma of the lesser omentum.
- Author:
Don Hyoun JOE
1
;
Jin Mo YANG
;
Hyun Su KIM
;
Sung Soo KIM
;
Sang Wook CHOI
;
Seung Hye CHOI
;
Seong LEE
;
Keun Woo LIM
Author Information
1. Department of Internal Medicine, St. Paul's Hospital, Catholic University Medical College, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Leiomyosarcoma;
Lesser omentum
- MeSH:
Aged;
Case Report;
Female;
Human;
Leiomyosarcoma/radiography;
Leiomyosarcoma/pathology*;
Omentum;
Peritoneal Neoplasms/radiography;
Peritoneal Neoplasms/pathology*;
Tomography, X-Ray Computed
- From:The Korean Journal of Internal Medicine
1999;14(1):88-90
- CountryRepublic of Korea
- Language:English
-
Abstract:
Leiomyosarcoma is a rare tumor that originates in the smooth muscle, usually in the gastrointestinal tract, the retroperitoneum and the genitourinary tract. The omentum has been rarely reported as a primary site of occurrence with leiomyosarcoma. A 72 year-old woman, with palpable mass on the left upper quadrant of abdomen and weight loss, was admitted to St. Paul's Hospital. Abdominal CT scan showed a 12 x 8 x 8 cm-sized cystic mass in the left upper quadrant of the abdomen. Endoscopic ultrasonography showed a large cystic mass between the stomach and the liver, which was 1.6 cm length in wall thickness. Laparotomy and resection of the mass was performed. A 12 x 8 x 8 cm-sized mass, originated from the lesser omentum, was discovered near the lesser curvature of the stomach. Microscopic examination revealed spindle-shaped cells with 7-8 mitoses per high power field. She was diagnosed as primary leiomyosarcoma originated from the lesser omentum.
