Unmasking the uncommon: retroperitoneal Leiomyosarcoma case report.

IF 0.5 Q3 MEDICINE, GENERAL & INTERNAL
Oxford Medical Case Reports Pub Date : 2025-03-28 eCollection Date: 2025-04-01 DOI:10.1093/omcr/omaf002
Boujguenna Imane, Mohammed Essaid Ramraoui, Fatima Boukis, Faisal ElMouhafid
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引用次数: 0

Abstract

Leiomyosarcoma is a rare subtype of soft tissue sarcoma originating from smooth muscle cells. The clinical presentation varies based on the tumor's location. We report the case of a 63-year-old woman with no significant medical history, who presented with persistent epigastric pain. A suspected lymphadenopathy was found on a CT scan. Following surgical excision, histopathology and immunohistochemistry confirmed the diagnosis of leiomyosarcoma, negative for CD117 and Dog1, but positive for H-Caldesmon. Retroperitoneal leiomyosarcoma is aggressive and rare, making diagnosis difficult prior to histopathology. Complete surgical resection with negative margins is the gold standard of treatment, though it can be challenging to achieve. A multidisciplinary approach is crucial to improve survival and quality of life. The patient is under regular follow-up and remains free of recurrence six months post-operatively.

揭露不寻常:腹膜后平滑肌肉瘤病例报告。
平滑肌肉瘤是一种罕见的软组织肉瘤亚型,起源于平滑肌细胞。临床表现因肿瘤部位而异。我们报告的情况下,63岁的妇女没有明显的病史,谁提出了持续的胃脘痛。CT扫描发现疑似淋巴结病变。手术切除后,组织病理学和免疫组织化学证实为平滑肌肉瘤,CD117和Dog1阴性,但H-Caldesmon阳性。腹膜后平滑肌肉瘤侵袭性强且罕见,在组织病理学检查前诊断困难。完全手术切除负切缘是治疗的金标准,尽管它可能是具有挑战性的实现。多学科方法对提高生存率和生活质量至关重要。患者接受定期随访,术后6个月无复发。
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来源期刊
Oxford Medical Case Reports
Oxford Medical Case Reports MEDICINE, GENERAL & INTERNAL-
CiteScore
0.90
自引率
0.00%
发文量
125
审稿时长
19 weeks
期刊介绍: Oxford Medical Case Reports (OMCR) is an open access, peer-reviewed online journal publishing original and educationally valuable case reports that expand the field of medicine. The journal covers all medical specialities including cardiology, rheumatology, nephrology, oncology, neurology, and reproduction, comprising a comprehensive resource for physicians in all fields and at all stages of training. Oxford Medical Case Reports deposits all articles in PubMed Central (PMC). Physicians and researchers can find your work through PubMed , helping you reach the widest possible audience. The journal is also indexed in the Web of Science Core Collection . Oxford Medical Case Reports publishes case reports under the following categories: Allergy Audiovestibular medicine Cardiology and cardiovascular systems Critical care medicine Dermatology Emergency medicine Endocrinology and metabolism Gastroenterology and hepatology Geriatrics and gerontology Haematology Immunology Infectious diseases and tropical medicine Medical disorders in pregnancy Medical ophthalmology Nephrology Neurology Oncology Paediatrics Pain Palliative medicine Pharmacology and pharmacy Psychiatry Radiology, nuclear medicine, and medical imaging Respiratory disorders Rheumatology Sexual and reproductive health Sports Medicine Substance abuse.
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