A CASE OF LAPALOSCOPICALLY RESECTED GASTRIC LEIOMYOBLASTOMA

• MAKITA Yoichiro

  Department of Surgery, Shisei Hospital Second Department of Surgery, Saitama Medical Center, Saitama Medical School

• KANAMARU Hiroshi

  Department of Surgery, Shisei Hospital

• HORIE Yoshiaki

  Department of Surgery, Shisei Hospital

• TAKADA Shin

  Second Department of Surgery, Saitama Medical Center, Saitama Medical School

• ODAKA Akio

  Second Department of Surgery, Saitama Medical Center, Saitama Medical School

• INOKUMA Shigehisa

  Department of Pathology, Saitama Medical Center, Saitama Medical School

Bibliographic Information

Other Title

• 腹腔鏡下摘出術を施行した胃平滑筋芽細胞腫の1例

Abstract

This paper describes a case of laparoscopically resected leiomyoblastoma, with a review of the literature. A 39-year-old man was found having a submucosal tumor (SMT) in the posterior wall of the stomach. It was diagnosed as leiomyoma preoperatively. Laparoscopic local excision of the stomach including the tumor was carried out. Pathological diagnosis of the resected apecimen was leiomyoblastoma, but mitotic figures were lacked. We evaluated the tumor asbenign and did no additional operation. Recent examination one year and four months after the laparoscopic operation showed no gastric deformity nor sign of recurrence. The patient's quality of life is the same as before the operation.<br> Leiomyoblastoma is a rare tumor among various gastric SMTs. If it is small in size, the differential diagnosis from leiomyoma of leiomyosarucoma is difficult to make. Therapy of leiomyoblastoma usually comprises prophylactic lymphadenectomy and gastrectomy, considering the malignancy. Local resection is rarely performed. Howerver, for small gastric SMTs of with preoperative diagnosis whether benign or malignant is difficult, the treatment of choise may be a minimal invasive laparoscopic resection first, and if pathological diagnosis is malignant, additional radical operation is followed. Such strategy will spare unnecessary gastorectomies.

Journal

• The journal of the Japanese Practical Surgeon Society

  The journal of the Japanese Practical Surgeon Society 57 (2), 379-383, 1996

  Japan Surgical Association

Keywords

• 平滑筋芽細胞腫
• 腹腔鏡下切除

Details

• CRID: 1390001205314929024
• NII Article ID: 10008519108
• NII Book ID: AN00198696
• DOI: 10.3919/ringe1963.57.379
• ISSN: 21892075
• ISSN: 03869776
• Web Site: http://www.jstage.jst.go.jp/article/ringe1963/57/2/57_2_379/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/1996188886
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed