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01121 Journal of Nara Medical Association >
Vol.56 No.3 >

Please use this identifier to cite or link to this item: http://hdl.handle.net/10564/137

Title: 胃内腔へ浸潤した後腹膜原発平滑筋肉腫および平滑筋芽腫の1剖検例
Other Titles: RETROPERITONEAL LEIOMYOSARCOMA AND LEIOMYOBLASTOMA DIRECTLY INVADED THE STOMACH AN AUTOPSY CASE REPORT
Authors: 守屋, 圭
増井, 一弘
前川, 泰寛
山根, 佳子
豊川, 泰勲
明石, 陽介
永松, 晋作
中谷, 敏也
菊池, 英亮
山田, 高嗣
仲川, 昌之
渡辺, 明彦
吉岡, 哲也
中西, 啓介
Keywords: leiomyosarcoma
leiomyoblastoma
retroperitoneum
digestive perforation
Issue Date: 30-Jun-2005
Publisher: 奈良医学会
奈良県立医科大学
Citation: Journal of Nara Medical Association Vol.56 No.3 p.137-146
Abstract: A 70-year-old woman complaining of nausea was admitted to our hospital for further examination of a large abdominal tumor. CT scan, MRI and Ultrasonography revealed a large mass adjacent to the left kidney, spleen and pancreas. Angiography showed a tumor stain mainly fed by the dorsal pancreatic artery. Although radical tumorectomy as well as splenectomy was performed, complete removal of the tumor was not successful because of the marked adhesion that easily caused critical bleeding by surgical manipulation. In addition, 2 kinds of chemotherapy conducted after surgical treatment showed little efficacy, resulting in the rapid growth of the locally recurrent lesion. Finally, the formation of tumor thrombus in the inferior vena cava was followed by its direct invasion to the stomach with severe ulceration causing refractory bleeding. Consequently, she died of multiple organ failure caused by repeated upper gastrointestinal bleeding. Autopsy revealed a retroperitoneal tumor consisting of leiomyosarcoma as well as leiomyoblastoma with pathologically high malignancy.
URI: http://hdl.handle.net/10564/137
ISSN: 13450069
Appears in Collections:Vol.56 No.3

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