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HAEMORRHAGE FROM SMOOTH MUSCLE TUMOURS OF THE UPPER GASTRO-INTESTINAL TRACT
- Source :
- Australian and New Zealand Journal of Surgery. 55:365-368
- Publication Year :
- 2008
- Publisher :
- Wiley, 2008.
-
Abstract
- Eight patients with haemorrhage from smooth muscle tumours of the upper gastro-intestinal tract were treated during a 10 year period from 1973 to 1982. Seven of the tumours were benign and one a malignant leiomyoblastoma. Seven tumours were sited in the stomach and there was one duodenal lesion. Endoscopy was performed in all eight cases and made the diagnosis definitively in four. In two cases the diagnosis was confirmed on barium meal and in the other two, diagnosis was eventually made at laparotomy. Two patients were shocked on admission and required emergency surgery. In one case a diameter greater than 10 cm suggested malignant potential and wide local resection was performed. In one other case with a tumour in the antrum, a distal partial gastrectomy was performed, and in the case with leiomyoblastoma a proximal gastrectomy was performed. One case was lost to follow-up. The mean follow-up in six cases free of disease with benign tumour was 2.6 years. The patient with a tumour of greater than 10 cm in diameter remains well at 18 months follow-up and the patient with a malignant leiomyoblastoma died 2 years after surgery.
- Subjects :
- Leiomyosarcoma
Male
medicine.medical_specialty
medicine.medical_treatment
Lesion
Gastrectomy
Stomach Neoplasms
Laparotomy
medicine
Humans
Antrum
Aged
Leiomyoma
medicine.diagnostic_test
business.industry
Stomach
Middle Aged
medicine.disease
Surgery
Barium meal
Endoscopy
medicine.anatomical_structure
Female
medicine.symptom
Gastrointestinal Hemorrhage
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 00048682
- Volume :
- 55
- Database :
- OpenAIRE
- Journal :
- Australian and New Zealand Journal of Surgery
- Accession number :
- edsair.doi.dedup.....f6cc0947c619567b1375cd63aaf8bf13