Surgery Today

, Volume 27, Issue 7, pp 672–675 | Cite as

Primary leiomyosarcoma arising in the lesser sac: Report of a case

  • Hironobu Kimura
  • Kiichi Maeda
  • Kohji Konishi
  • Atsushi Tsuneda
  • Kenichi Tazawa
  • Mitsuharu Earashi
  • Tetsuya Inoue
  • Kazuhisa Yabushita
  • Yoshitaka Kuroda
  • Masahiko Tsuji
  • Atsuo Miwa
Case Reports

Abstract

We describe herein a very rare case of leiomyosarcoma arising in the lesser sac. A 58-year-old man with a psychiatric disorder was admitted to our department for the investigation of epigastralgia and nausea which he had been suffering since the previous month. A laparatomy revealed that the abdominal mass, found on physical examination, was a primary lesser omental tumor, histological examinations of which confirmed a diagnosis of leiomyosarcoma. The tumor cells showed a DNA diploid pattern. Leiomyosarcoma of the lesser sac is extremely unusual and it is important that it be distinguished from an extraluminal tumor of the abdomen.

Key Words

leiomyosarcoma lesser sac DNA ploidy pattern 

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References

  1. 1.
    Golden T, Stout AP (1941) Smooth muscle tumors of the gastrointestinal tract and retroperitoneal tissues. Surg Gynecol Obstet 73:784–810Google Scholar
  2. 2.
    Souda K, Shiramizu T, Oka N, Tsurumura H, Miyamoto Y (1984) Primary leiomyosarcoma of the lesser sac: Report of a case. Jpn J Surg 14:505–509PubMedGoogle Scholar
  3. 3.
    Yoneyama F, Maeda M, Mita S, Iida Y, Kunou T, Akiyama S (1992) A case of primary leiomyosarcoma of the lesser omentum (in Japanese). J Jpn Soc Clin Surg 53:455–459Google Scholar
  4. 4.
    Katsuyama S, Suzuki S, Saito M, Fujimaki M (1992) A case of leiomyosarcoma of the lesser omentum (in Japanese). J Jpn Soc Surg 53:695–699Google Scholar
  5. 5.
    Granmayed M, Jonsson K, McFarland W, Wallace S (1978) Angiography of abdominal leiomyosarcoma. Am J Roentgenol 130:725–703Google Scholar
  6. 6.
    Kimura H, Yonemura Y, Kadoya N, Kosaka T, Miwa K, Miyazaki I, Sawa T, Yoshimitsu S, Nishida Y, Kamata T, Hirino T, Takayanagi N (1991) Prognostic factors in primary gastrointestinal leiomyosarcoma: A retrospective study. World J Surg 15:771–777CrossRefPubMedGoogle Scholar
  7. 7.
    Kimura H, Yonemura Y, Kadoya N, Kosaka T, Miwa K, Miyazaki I, Sawa T, Yoshimitsu S, Nishida Y, Kamata T, Hirino T, Takayanagi N (1993) Correlation between DNA ploidy and clinical features in smooth muscle tumors of the gastrointestinal tract. Anal Cell Path 5:331–338Google Scholar
  8. 8.
    Kimura H, Yonemura Y (1991) Flow cytometric analysis of nuclear DNA content in advanced gastric cancer and its relationship with prognosis. Cancer 67:2588–2593PubMedGoogle Scholar
  9. 9.
    Kimura H, Yonemura Y, Epstein AL (1991) Flow cytometric quantitation of the proliferation-associated nuclear antigen p105 and DNA content in advanced gastric cancers. Cancer 68:2175–2180PubMedGoogle Scholar
  10. 10.
    Kohno H, Nagasue N, Araki S, Kato T (1981) Ten-year survival after synchronous resection of liver metastasis from intestinal leiomyosarcoma. Cancer 47:1421–1423PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1997

Authors and Affiliations

  • Hironobu Kimura
    • 1
  • Kiichi Maeda
    • 1
  • Kohji Konishi
    • 1
  • Atsushi Tsuneda
    • 1
  • Kenichi Tazawa
    • 1
  • Mitsuharu Earashi
    • 1
  • Tetsuya Inoue
    • 1
  • Kazuhisa Yabushita
    • 1
  • Yoshitaka Kuroda
    • 1
  • Masahiko Tsuji
    • 1
  • Atsuo Miwa
    • 2
  1. 1.Department of SurgeryToyama Prefectural Central HospitalToyamaJapan
  2. 2.Department of PathologyToyama Prefectural Central HospitalToyamaJapan

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