Gastric leiomyosarcoma mimicking hepatocellular carcinoma .

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL
Himanshu Gupta, D S Darshanik, Ritambara Nada, Pankaj Gupta, Surinder S Rana, Rajesh Gupta
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引用次数: 0

Abstract

Gastric leiomyosarcoma is an extremely rare malignancy with an aggressive course. Complete excision of the tumour with adjuvant therapy is a curative option. The patient presents with non-specific upper gastrointestinal symptoms. Preoperative biopsy and immunostaining with endoscopic ultrasound guidance is the most accurate tool for diagnosis. We present here a case of a middle-aged man, presenting with upper abdominal heaviness and a lump which progressed rapidly in size over a few weeks, associated with appetite and weight loss. Radiographic evaluation was suggestive of a large tumour of the left lobe of the liver, possibly hepatocellular carcinoma, due to raised protein induced by vitamin K absence-II levels. Intraoperatively, it turned out to be of gastric origin, in relation to the liver. .

胃平滑肌肉瘤模拟肝细胞癌。
摘要胃平滑肌肉瘤是一种极为罕见的恶性肿瘤,病程具有侵袭性。完全切除肿瘤并辅以辅助治疗是一种治疗选择。患者表现为非特异性上消化道症状。术前活检和内镜超声指导下的免疫染色是最准确的诊断工具。我们在此报告一个中年男性的病例,表现为上腹部沉重和一个肿块,其大小在几周内迅速扩大,伴有食欲和体重减轻。x线检查提示肝脏左叶有一个大肿瘤,可能是肝细胞癌,原因是维生素K缺失导致蛋白升高。术中发现是胃源性病变,与肝脏有关。
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来源期刊
BMJ Case Reports
BMJ Case Reports Medicine-Medicine (all)
CiteScore
1.40
自引率
0.00%
发文量
1588
期刊介绍: BMJ Case Reports is an important educational resource offering a high volume of cases in all disciplines so that healthcare professionals, researchers and others can easily find clinically important information on common and rare conditions. All articles are peer reviewed and copy edited before publication. BMJ Case Reports is not an edition or supplement of the BMJ.
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