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Gastric leiomyosarcoma mimicking a cystic tumor at the pancreatic tail--one case report.
- Source :
-
Hepato-gastroenterology [Hepatogastroenterology] 1998 Nov-Dec; Vol. 45 (24), pp. 2468-70. - Publication Year :
- 1998
-
Abstract
- A 73 year-old female patient suffered from anemia and a palpable abdominal mass. Abdominal ultrasonography and magnetic resonance imaging revealed a lesion with papillary excrescences at the pancreatic tail. Endoscopic retrograde cholangiopancreatography showed a normal pancreatic duct, but a small submucosal tumor was found in the stomach incidentally. Laparotomy disclosed an exophytic tumor arising from the submucosal layer of the stomach. Pathology revealed a gastric leiomyosarcoma with remarkable liquefaction and cystic change. Gastric leiomyosarcoma can be so necrotic as to be mistaken for a cystic tumor. It is critically important to differentiate the peripancreatic cystic lesion because the treatment strategy is totally different.
- Subjects :
- Aged
Biomarkers, Tumor blood
Carcinoembryonic Antigen blood
Cholangiopancreatography, Endoscopic Retrograde
Diagnosis, Differential
Female
Gastric Mucosa pathology
Humans
Leiomyosarcoma blood
Leiomyosarcoma pathology
Magnetic Resonance Imaging
Pancreatic Cyst blood
Pancreatic Cyst pathology
Stomach Neoplasms blood
Stomach Neoplasms pathology
Tomography, X-Ray Computed
Leiomyosarcoma diagnosis
Pancreatic Cyst diagnosis
Stomach Neoplasms diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 0172-6390
- Volume :
- 45
- Issue :
- 24
- Database :
- MEDLINE
- Journal :
- Hepato-gastroenterology
- Publication Type :
- Academic Journal
- Accession number :
- 9951946