Gastric leiomyosarcoma

A retrospective study was made of 28 patients who had gastric leiomyosarcomas to identify histologic patterns and radiologic appearances. Three histologic patterns were identified: spindle cell, epithelioid, and pleomorphic. The histopathologic type of tumor did not correlate with the size, the grade of malignancy, or the location of the mass within the stomach. All but one tumor presented as a submucosal mass by barium contrast examination. Ulceration was present in 17 of 28 patients. Sonographic examination in six patients and computed tomography (CT) in one provided further information about the degree of extragastric extension. Sonographically the masses were echogenic in three patients, hypoechoic in two, and anechoic in one. Surgery remains the only curative therapy and surgical excision is recommended regardless of mass size.
CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				S. E. Rha, H. K. Ha, A. Y. Kim, T. K. Kim, B. G. Choi, J. Y. Byun, S.-J. Myung, and S.-k. Yang Peritoneal Leiomyosarcomatosis Originating from Gastrointestinal Leiomyosarcomas: CT Features Radiology, May 1, 2003; 227(2): 385 - 390. [Abstract] [Full Text] [PDF]

				A. D. Levy, H. E. Remotti, W. M. Thompson, L. H. Sobin, and M. Miettinen From the Archives of the AFIP: Gastrointestinal Stromal Tumors: Radiologic Features with Pathologic Correlation RadioGraphics, March 1, 2003; 23(2): 283 - 304. [Abstract] [Full Text] [PDF]

				B. A. Johnston A Proposed New Sonographic Sign to Aid in Further Differentiation of Gastric Neoplasms Journal of Diagnostic Medical Sonography, January 1, 1987; 3(1): 21 - 26. [Abstract] [PDF]