Résumé
Le léiomyosarcome primaire de l’estomac est rare, il représente 1 % des tumeurs gastriques malignes. La symptomatologie reste pauvre, l’échoendoscopie avec biopsie est l’outil le plus performant pour faire le diagnostic. La résection chirurgicale complète est le traitement de choix pour léiomyosarcomes gastriques. Nous rapportons un cas rare de léiomyosarcome géant de l’estomac, chez une patiente de 40 ans sans symptomatologie spécifique, et dont le diagnostic a été posé après une laparotomie exploratrice. La patiente a été traitée par gastrectomie partielle élargie à la rate.
Abstract
Primary leiomyosarcoma of the stomach is rare, representing 1% of all malignant gastric tumours. Little is known about its symptomatology, and ultrasound endoscopy with a biopsy is the most effective way of making a diagnosis. Full surgical resection is the most common treatment for gastric leiomyosarcoma.We are reporting on a rare case of a massive leiomyosarcoma of the stomach, in a patient aged 40 years with no specific symptomatology, and in whom the diagnosis was made following an exploratory laparotomy. The patient was treated with a partial gastrectomy, extended to the spleen.
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Elkaoui, H., Bounaim, A., Baba, H. et al. Léiomyosarcome de l’estomac : quelle prise en charge ?. Acta Endosc 46, 26–28 (2016). https://doi.org/10.1007/s10190-015-0523-4
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DOI: https://doi.org/10.1007/s10190-015-0523-4