Multimodal treatments of right gastroepiploic arterial leiomyosarcoma with hepatic metastasis:A case report and review of the literature  

作　　者：Hyung-Il Seo Dong-Il Kim Youngsoo Chung Chang In Choi Minjoo Kim Sungpil Yun Suk Kim Do Youn Park 

机构地区：[1]Department of Surgery, Biomedical Research Institute,Pusan National University Hospital [2]Department of Surgery, Pusan National University Yangsan Hospital [3]Department of Surgery,On Hospital [4]Department of Radiology, Biomedical Research Institute, Pusan National University Hospital [5]Department of Pathology, Biomedical Research Institute, Pusan National University Hospital

出　　处：《World Journal of Clinical Cases》2018年第8期219-223,共5页世界临床病例杂志

摘　　要：Leiomyosarcoma of an artery is very rare, and cases with hepatic metastasis are even rarer. We describe a case of a 70-year-old man who after follow up due to rectal cancer, presented with an intra-abdominal hypervascular mass and a hepatic mass. After surgical resection, it was diagnosed as a leiomyosarcoma of the right gastroepiploic artery with hepatic metastasis. Multiple metastases had recurred at the liver. He has survived more than 53 mo through multimodal treatments(three surgical resections, radiofrequency ablation, transarterial chemoembolization, chemotherapies, and targeted therapy). Multimodal treatments, including active surgical resection, may behelpful in the treatment of aggressive diseases such as arterial leiomyosarcoma with metastasis.Leiomyosarcoma of an artery is very rare, and cases with hepatic metastasis are even rarer. We describe a case of a 70-year-old man who after follow up due to rectal cancer, presented with an intra-abdominal hypervascular mass and a hepatic mass. After surgical resection, it was diagnosed as a leiomyosarcoma of the right gastroepiploic artery with hepatic metastasis. Multiple metastases had recurred at the liver. He has survived more than 53 mo through multimodal treatments(three surgical resections, radiofrequency ablation, transarterial chemoembolization, chemotherapies, and targeted therapy). Multimodal treatments, including active surgical resection, may behelpful in the treatment of aggressive diseases such as arterial leiomyosarcoma with metastasis.

关 键 词：Multimodal TREATMENTS INTRA-ABDOMINAL ARTERIAL LEIOMYOSARCOMA HEPATIC metastasis ARTERIAL LEIOMYOSARCOMA Surgical RESECTION 

分 类 号：R[医药卫生]