Primary Hepatic Leiomyosarcoma with Giant Cyst Formation : A Case Report

フォーマット:

論文

責任表示:

Rokutanda, Nana ; Makita, Fujio ; Ohwada, Susumu ; Sakamoto, Ichiro ; Yoshimura, Sumihiko ; Togo, Nozomi ; Takeyoshi, Izumi ; Morishita, Yasuo

言語:

英語

出版情報:

北関東医学会, 2005-05-01

著者名:

Rokutanda, Nana

Makita, Fujio

Ohwada, Susumu

Sakamoto, Ichiro

Yoshimura, Sumihiko

Togo, Nozomi

Takeyoshi, Izumi

Morishita, Yasuo

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掲載情報:

The Kitakanto medical journal = 北関東医学

ISSN:

1343-2826      

巻:

55

通号:

2

開始ページ:

165

終了ページ:

168

バージョン:

VoR

概要:

application/pdf<br />Journal Article<br />A 64-year-old male with right upper abdominal pain had been treated with an H2-blocker for three months as a gastric ulcer recurrence with no response. An abdominal US identified a large cystic tumor in the left lobe of the liver. Tumor markers were all normal ; hepatitis serology tests were all negative, although liver function tests were elevated slightly. A CT scan showed a well-defined cystic tumor with a thick, … heterogeneously enhanced wall. Selective celiac artery angiograms showed displacement of the common hepatic artery, and an avascular area. As a malignant tumor was suspected, a left lobectomy of the liver was performed. The tumor measured 17×15×12cm and contained central cystic degeneration filled with 280 ml of dark red fluid. Microscopic findings revealed anaplastic spindle cell proliferation, and immunohistochemical examination was positive for α-smooth muscle actin. A thorough survey did not detect a primary tumor in any other organ. Therefore, primary hepatic leiomyosarcoma was diagnosed. Only 80 cases have been reported. We reviewed the available literature. 続きを見る