腹膜播種で再発した小腸平滑筋芽細胞腫の1例 A CASE OF POSTOPERATIVE RECURRENT INTESTINAL LEIOMYOBLASTOMA WITH PERITONEAL DISSEMINATION
Leiomyoblastoma of the small intestine is a rare disease. We report a case of peritoneally disseminated recurrence occurred 2 years after an operation for a leiomyoblastoma of the jejunum.<br>A 70-year-old woman was admitted to the hospital because of other disease. Two years prior to this admission, she had undergone a partial jejunectomy due to leiomyoblastoma, when no lymph node metastasis nor invasion to other organs was revealed. Histologically, mitotic figures of the tumor were seen two or three per ten high-power fields. That was diagnosed as low grade malignancy. In this admission, she was detected the abdominal tumor on paltation. Bulky tumors were showed in the abdominal cavity on an abdominal CT scan. An exploratory laparotomy was performed. We judged that radical resection was impossible and removed those tumors as much as possible. These tumors were diagnosed histologically as peritoneally disseminated recurrence of the intestinal leomyoblastoma.<br>This paper also presents a review of 31 cases in the duodenum and 47 cases in the jejunum and ileum including this case which have been reported in Japan.
- 日本臨床外科学会雑誌 = The journal of the Japan Surgical Association
日本臨床外科学会雑誌 = The journal of the Japan Surgical Association 60(10), 2677-2683, 1999-10-25
Japan Surgical Association