混合型胃平滑筋肉腫の一例

森 秀明; 二瓶 節雄; 小森 直起; 川村 和民; 赤堀 秀樹; 青木 伸一; 森田 純一; 高木 泰; 若狭 勝秀; 長嶋 吉郎; 伊藤 正高; 斉藤 昌三; 青柳 利雄; 栄田 好一朗; 入村 哲也; 李 思元; 鍋谷 欣市; 福住 直由

doi:10.11434/kyorinmed.16.529

A Case Report of Leiomyosarcoma of the Stomach Showing Endo- and Exo-gastric growth

Hideaki MORI, Setsuo NIHEI, Naoki KOMORI, Kazutami KAWAMURA, Hideki AKABORI, Shinichi AOKI, Junichi MORITA, Yasushi TAKAGI, Katsuhide WAKASA, Kichiro NAGASHIMA, Masataka ITO, Shozo SAITO, Toshio AOYAGI, Kouichiro EIDA, Tetsuya NYUMURA, Shigen RI, Kinichi NABEYA, Naoyoshi FUKUZUMI

Author information

Hideaki MORI
The Third Department of Internal Medicine, Kyorin University School of Medicine
Setsuo NIHEI
The Third Department of Internal Medicine, Kyorin University School of Medicine
Naoki KOMORI
The Third Department of Internal Medicine, Kyorin University School of Medicine
Kazutami KAWAMURA
The Third Department of Internal Medicine, Kyorin University School of Medicine
Hideki AKABORI
The Third Department of Internal Medicine, Kyorin University School of Medicine
Shinichi AOKI
The Third Department of Internal Medicine, Kyorin University School of Medicine
Junichi MORITA
The Third Department of Internal Medicine, Kyorin University School of Medicine
Yasushi TAKAGI
The Third Department of Internal Medicine, Kyorin University School of Medicine
Katsuhide WAKASA
The Third Department of Internal Medicine, Kyorin University School of Medicine
Kichiro NAGASHIMA
The Third Department of Internal Medicine, Kyorin University School of Medicine
Masataka ITO
The Third Department of Internal Medicine, Kyorin University School of Medicine
Shozo SAITO
The Third Department of Internal Medicine, Kyorin University School of Medicine
Toshio AOYAGI
The Third Department of Internal Medicine, Kyorin University School of Medicine
Kouichiro EIDA
The Second Department of Surgery, Kyorin University School of Medicine
Tetsuya NYUMURA
The Second Department of Surgery, Kyorin University School of Medicine
Shigen RI
The Second Department of Surgery, Kyorin University School of Medicine
Kinichi NABEYA
The Second Department of Surgery, Kyorin University School of Medicine
Naoyoshi FUKUZUMI
The Department of Surgical Pathology, Kyorin University School of Medicine

Keywords: Gastric tumor, Leiomyosarcoma

JOURNAL FREE ACCESS

1985 Volume 16 Issue 4 Pages 529-534

DOI https://doi.org/10.11434/kyorinmed.16.529

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Abstract

A 70-year-old male was admitted to our hospital in a critical condition because of hematemesis accompanied by epigastralgia and severe anemia. Gastro-fiberscopy revealed a smooth, elevated lesion with three ulcerations at the cardia of stomach. A cytological examination of tumor showed cells suggestive of leiomyosarcoma. X-ray examination of stomach supported the presence of tumor shown by gastro-fiberscopy. A CT scan of abdomen and angiography revealed a hypervascularity of the tumor. Total gastrectomy revealed a tumor of leiomyosarcoma measuring 8.5×9.5cm originated from muscle layer of the cardia of stomach. The tumor was growing intra-and extra-luminally continuously from the original site, however, no metastasis of tumor was present. We attempted to report the experience about this case which might help to establish the preoperative diagnosis of rather rare this type of malignancies.

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