Primary Hepatic Leiomyosarcoma with Giant Cyst Formation : A Case Report
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概要
- 論文の詳細を見る
A 64-year-old male with right upper abdominal pain had been treated with an H2-blocker for three months as a gastric ulcer recurrence with no response. An abdominal US identified a large cystic tumor in the left lobe of the liver. Tumor markers were all normal ; hepatitis serology tests were all negative, although liver function tests were elevated slightly. A CT scan showed a well-defined cystic tumor with a thick, heterogeneously enhanced wall. Selective celiac artery angiograms showed displacement of the common hepatic artery, and an avascular area. As a malignant tumor was suspected, a left lobectomy of the liver was performed. The tumor measured 17×15×12cm and contained central cystic degeneration filled with 280 ml of dark red fluid. Microscopic findings revealed anaplastic spindle cell proliferation, and immunohistochemical examination was positive for α-smooth muscle actin. A thorough survey did not detect a primary tumor in any other organ. Therefore, primary hepatic leiomyosarcoma was diagnosed. Only 80 cases have been reported. We reviewed the available literature.
- 北関東医学会の論文
- 2005-05-01
著者
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Rokutanda Nana
Department Of Thoracic And Visceral Organ Surgery Graduate School Of Medicine Gunma University
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SAKAMOTO ICHIRO
Department of Radiology, Nagasaki University Graduate School of Biomedical Sciences
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Morishita Y
Department Of Molecular Pathology Institute Of Biomolecular And Integrated Medical Sciences Graduate
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TAKEYOSHI Izumi
Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate School of Medicine
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Morishita Yasuo
Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate School of Medicine
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Takeyoshi Izumi
Department Of Thoracic And Visceral Organ Surgery Graduate School Of Medicine Gunma University
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MAKITA FUJIO
Department of Surgery, National Sanatorium Nishi-Gunma Hospital
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Makita Fujio
Department Of Surgery National Nishigunma Hospital
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Ohwada Susumu
Department Of Thoracic And Visceral Organ Surgery Graduate School Of Medicine Gunma University
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Ohwada Susumu
Second Department Of Surgery Faculty Of Medicine Gunma University
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Sakamoto Ichiro
Department Of Cardiovascular Surgery Nagasaki University
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Morishita Yasuo
Department Of Thoracic And Visceral Organ Surgery Graduate School Of Medicine Gunma University
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Morishita Yasuo
Department Of Technical Support Ube National College Of Technology
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Ikeya Toshiro
Department Of Thoracic And Visceral Organ Surgery Graduate School Of Medicine Gunma University
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Yoshimura Sumihiko
Department of Surgery, National Nishigunma Hospital
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Togo Nozomi
Department of Surgery, National Nishigunma Hospital
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Togo Nozomi
Department Of Surgery National Nishigunma Hospital:department Of Thoracic And Visceral Organ Surgery
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Yoshimura Sumihiko
Department Of Surgery National Nishigunma Hospital:department Of Thoracic And Visceral Organ Surgery
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Sakamoto Ichiro
Department Of Surgery National Nishigunma Hospital:department Of Thoracic And Visceral Organ Surgery
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Rokutanda Nana
Department Of Surgery National Nishigunma Hospital:department Of Thoracic And Visceral Organ Surgery
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