Summary
Leiomyosarcoma of the large intestine, excluding the rectum, is a rare lesion and only 58 cases have been previously reported. Significant uptake of radioactivity of gallium-67 to the tumor has not been reported and this report may be the first case. Although preoperative diagnosis is considered to be difficult, barium enema study and colonofiberscopy disclosed the findings suggesting extracolic growth of the tumor in our case, which are thought to be characteristics of nonepithelial tumors. Gallium-67 citrate scanning may be useful for confirming the diagnosis.
Similar content being viewed by others
References
Scott CR: Myoma malignum particularly other than uterine. Northwest Med 23: 436–439, 1923
Neugebauer F: Über ein Myom des Magens und ein Myosarkom des Zökum. Beitr Klin Chir 156: 476–479, 1932
Trygstad R: A case of leiomyosarcoma of the cecum. Am J Cancer 16: 662–664, 1932
Golden T, Stout AP: Smooth muscle tumors of the gastrointestinal tract and retroperitoneal tissues. Surg Gynecol Obstet 73: 784–810, 1941
Broders AC Sr, Phillips C, Stinson JC: Neoplasms of the large bowel. Surg Clin North Am 32: 1511–1529, 1952
Ripstein CB, Flint GW: Leiomyosarcoma of the gastrointestinal tract. Gastroenterology 20: 315–326, 1952
MacKenzie DA, McDonald JR, Waugh JM: Leiomyoma and leiomyosarcoma of the colon. Ann Surg 139: 67–75, 1954
Marshall SF, Cherry JW: Smooth muscle tumors of the alimentary canal. Surg Clin North Am 35: 719–733, 1955
McVerry A, Levene F: Leiomyosarcoma of the colon. Br J Surg 44: 189–192, 1951
Longino LA, Martin LW: Abdominal masses in the newborn infant. Pediatrics 21: 596–604, 1958
Guisto DF, Thoshinsky MJ, Brizzolara LG: Leiomyosarcoma of the ascending colon associated with multiple polyposis. Am J Surg 95: 1007–1010, 1958
Kriss N: Leiomyosarcoma of the colon in an infantcase report and review. Am J Roentgenol 84: 540–545, 1960
Rogers V: Case reports leiomyosarcoma of the colon. Br J Radiol 34: 748–750, 1961
Valentini SB, Luminari M, Simeoni S: Su di un caso di leiomiosarcoma del colon ascendente. Minerva Chir 16:247–253, 1961
Meszaross WT: Leiomyosarcoma of the colon. Am J Roentogenol 89: 766–770, 1963
Levine CS, Kiehl PV, Serfas CL: Leiomyosarcoma of the colon. Am J Surg 109: 816–818, 1965
Lookanoff VA, Tsaprlis PC: Smooth-muscle tumors of the colon-report of a case involving the cecum and ascending colon. JAMA 198:206–207, 1966
LeMole G, Goldman LI, Rosemond GP: Leiomyosarcoma of the colon-a revised prognosis: report of a case. Dis Col & Rect 11:306–310, 1968
Rizzi B, Vassanelli P: Leiomiosarcoma del colon associato a leiomiomi gastrici. Osped Ital Chir 19: 485–493, 1968
DeRoo T, Vaas F: Leiomyosarcoma of the transverse and descending colon two case reports and review. Am J Gastroenterol 52: 150–156, 1969
Wiercioch B, Hafsia M, Maamouri MT: Un cas rare de leiomyome du colon transverse s’etant revele malin. Tunis Med 47: 183–186, 1969
Marshak RH, Lindner AF: The radiology corner: leiomyosarcoma of the colon. Am J Gastroenterol 54: 155–157, 1970
Matsuda T, Condon RE: Leiomyosarcoma of the colon with metastasis to the liver: right hepatic lobectomy in presence of variant hepatic artery. J Surg Oncol 3(5): 533–538, 1971
Schumann F: Leiomyosarcoma of the colon. Dis Col & Rect 15:211–216, 1972
Calem SH, Keller RJ: Case No 370, Mt Sinai J Med NY 40: 818–824, 1973
DeRoo T: Leiomyosarcoma of the colon, a rare tumour, three case reports and review. Radiol Clin Biol 43: 187–195, 1974
Tang CK, Melamed MR: Leiomyosarcoma of the colon exclusive of the rectum. Am J Gastroenterol 64:376–381, 1975
Warkel RL, Stewart JB, Temple AJ: Leiomyosarcoma of the colon: report of a case and analysis of the relationship of histology to prognosis. Dis Col & Rect 18:501–506, 1975
Yamakawa T, Hasebe M: Leiomyosarcoma of the transverse colon. Gastroenterol Jpn 10: 77–79, 1975
Monga NK, Sood S, Malik AK, Kaushik SP: Leiomyosarcoma of the colon. IntSurg61: 226–227, 1976
Astarjian NK, Tseng CH, Keating JA, Koo BY, Reynoso G: Leiomyosarcoma of the colon: report of a case. Dis Colon & Rect 20: 139–143, 1977
Wood WG, Timothy K, Thomas CY: Multiple leiomyosarcomas. South Med J 70: 381–383, 1977
Ein SH, Beck AR, Allen JE: Colon sarcoma in the newborn. J Pediatr Surg 14: 455–457, 1979
Cho KC, Smith TR: Multiple leiomyosarcoma of the transverse colon: report of a case and discussion. Dis Col & Rect 23: 118–121, 1980
Rao BK, Kapur MM: Leiomyosarcoma of the colon: a case report and review of literature. Dis Col & Rect 23: 184–190, 1980
Stavorovsky M, Papo J, Baratz M: Leiomyosarcoma of the colon and rectum. Dis Col & Rect 23: 249–254, 1980
Scully RF, Galdabini JJ, McNeely BV: Case records of the Massachusettes general hospital. N Eng J Med 302:104–111, 1980
Angerpointner TA, Weits H, Haas RJ, Hecker WC: Intestinal leiomyosarcoma in childhood-case report and review of the literature. J Pediatric Surg 16:491–495, 1981
Balthazar EJ: Gastrointestinal leiomyosarcomaunusual sites: esophagus, colon and porta hepatis. Gastrointest Radiol 6: 295–303, 1981
Berkeley KM: Leiomyosarcoma of the large intestine, excluding the rectum. Int Surg 66: 177–179, 1981
Khan SA, Purow E: Leiomyosarcoma of the colon with hepatic metastases. Am J Proctol Gastroenterol Col & Rect Surg 33(8): 14–22, 1982
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Suzuki, A., Fukuda, S., Tomita, S. et al. An unusual case of colonic leiomyosarcoma presenting with fever. Gastroenterol Jpn 19, 486–492 (1984). https://doi.org/10.1007/BF02807262
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02807262