Small bowel leiomyosarcoma: A case report and literature review

Arts, Rob; Bosscha, K.; Ranschaert, Erik; Vogelaar, Jeroen

doi:10.4318/tjg.2012.0406

Cited by 11 publications

(24 citation statements)

References 34 publications

(30 reference statements)

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“…LMS of the small intestine have been documented as isolated reports or only a very small percentage of the smooth muscle tumors of the small intestine. Jejunal LMS are even rarer . Furthermore, cytological evaluation and preoperative diagnosis of small intestinal LMS is not well documented, even though cytology of small intestinal GISTs has been studied .…”

Section: Discussionmentioning

confidence: 99%

“…The incidence of smooth muscle tumors (both leiomyomas and leiomyosarcomas) as a whole comprise approximately 1 per 100 GISTs . The exact incidence of jejunal LMS is not clear as there are only isolated reports and occasional small case series only …”

Section: Introductionmentioning

confidence: 99%

“…The exact incidence of jejunal LMS is not clear as there are only isolated reports and occasional small case series only. [2][3][4] Since preoperative diagnosis is useful in differentiating benign from malignant lesions, correctly staging malignant lesions and identifying the plan of management, preoperative cytological evaluation assumes a great significance. Though there have been reports and case series on cytological diagnosis of jejunal GISTs, 5 we could not find any case with the preoperative diagnosis of jejunal LMS.…”

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confidence: 99%

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Jejunal leiomyosarcoma: Report of a rare case diagnosed on cytology

Elhence

Rao

Vishnoi

et al. 2018

Diagnostic Cytopathology

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Jejunal leiomyosarcomas (LMS) are extremely rare. Of all the mesenchymal tumors of the small intestine, Gastrointestinal Stromal Tumors (GIST) comprise the majority. LMS of the small intestine have been documented as isolated reports or only a very small percentage of the smooth muscle tumors of the small intestine. Furthermore, cytological evaluation and preoperative diagnosis of small intestinal LMS is not well documented, even though cytology of small intestinal GISTs has been studied. Since preoperative diagnosis is useful in differentiating benign from malignant lesions, correctly staging malignant lesions and identifying the plan of management, preoperative cytological evaluation assumes a great significance. We report a case of jejunal leiomyosarcoma diagnosed on cytology. Key Messages Although extremely rare, small intestinal LMS should be considered in the differential diagnosis of small intestinal mesenchymal lesions. FNAC, with preparation of cell block, and subsequent IHC can help in the preoperative diagnosis and formulating a plan of management of the patients.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Jejunal leiomyosarcoma: Report of a rare case diagnosed on cytology

Elhence

Rao

Vishnoi

et al. 2018

Diagnostic Cytopathology

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“…Small intestine neoplasms are rare, with an incidence of 22.7 per million per year and less than 30 case reports worldwide have been found in literature. 6,4 It accounts to less than 5% of all malignancies in the gastrointestinal tract. 1 Sarcomas rank fifth (1.2%) among all malignant small bowel tumors, after carcinoids (44.3%), adenocarcinomas (32.6%), lymphomas (14.7%), and gastrointestinal stromal tumors (GISTs) (7.2%).…”

Section: Discussionmentioning

confidence: 99%

“…2 Few cases were reported of primary small bowel leiomyosarcoma following vigorous immuno-histological techniques. 3,4 Small bowel sarcomas are usually asymptomatic at the initial stages, and difficult to visualise by oesophago-gastroscopy and colonoscopy. 5 In late stages, they may present as intestinal obstruction, bleeding and perforation with poor chances of survival.…”

Section: Introductionmentioning

confidence: 99%

Giant jejunal leiomyosarcoma: a rare case

Srikanth¹,

Goud²,

Muvva³

et al. 2018

Int Surg J

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Unlike other gastrointestinal neoplasms, small bowel tumours are often rare. Of this, leimyosarcoma of jejnum is extremely uncommon. Most of these patients are asymptomatic however in few cases may present with acute presentation such as intestinal obstruction, bleeding and perforation. A 35 years old female presented to the hospital with complaints of pain and vomiting. On palpation, an irregular 21x18cms lump with variable consistency and irregular borders which was intraabdominal and intraperitoneal. CECT revealed heterogenous, hypoechoic mass extending from epigastric to hypogastric region with probable diagnosis of mesenchymal tumour (probably GIST/LEIOMYOSARCOMA), however exact site of origin couldn’t be traced. Patient underwent exploratory laprotomy, 25x20cms irregular mass arising from jejunum was resected and sent for histopathological examination. HPE and immunohistochemistry revealed grade 3 leiomyosarcoma.

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Leiomyosarcoma of the rectum: A systematic review of recent literature

Annicchiarico,

Montali,

Baldinu

et al. 2023

Journal of Surgical Oncology

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Leiomyosarcomas (LMSs) are rare tumors originating from the muscular layer. We performed a literature review of cases of confirmed rectal leiomyosarcomas (rLMSs) to clarify the history of such an infrequent tumor arising at such an uncommon location. In this research local recurrence was related to poorly differentiated rLMS and no other association between recurrence and any criteria was found. Concerning overall survival (OS), rLMS patients developing recurrence presented shorter longevity compared with the group without.

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Small bowel leiomyosarcoma: A case report and literature review

Cited by 11 publications

References 34 publications

Jejunal leiomyosarcoma: Report of a rare case diagnosed on cytology

Jejunal leiomyosarcoma: Report of a rare case diagnosed on cytology

Giant jejunal leiomyosarcoma: a rare case

Leiomyosarcoma of the rectum: A systematic review of recent literature

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