Synchronous Primary Leiomyosarcoma in the Thoracic Vertebra and the Liver

This is a case report of simultaneous primary leiomyosarcomas in the spine and liver. A 64-year-old woman presented to the Seoul Paik Hospital with epigastric discomfort and constipation that she had experienced for two months. A physical examination revealed severe tenderness around the thoraco-lum...

Full description

Saved in:
Bibliographic Details
Published inThe Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi Vol. 74; no. 1; p. 57
Main Authors Kim, Young Kwan, Kim, Jung-A, Ryu, Soo Hyung, Choi, Jong Hyun, Tsung, Pei Chuan, Park, Jong Hyeok, Moon, Jeong Seop, Shim, Jae Chan, Lee, Hye Kyung, Loutzenhiser, James Matthew
Format Journal Article
LanguageEnglish
Published Korea (South) 25.07.2019
Subjects
Abdomen - diagnostic imaging
Bone Neoplasms - diagnosis
Bone Neoplasms - pathology
Endoscopy, Digestive System
Female
Humans
Image-Guided Biopsy
Leiomyosarcoma - diagnosis
Leiomyosarcoma - pathology
Liver Neoplasms - diagnosis
Liver Neoplasms - pathology
Magnetic Resonance Imaging
Middle Aged
Neoplasms, Multiple Primary
Tomography, X-Ray Computed
Bone and bones
Spine
Liver
Leiomyosarcoma
Neoplasms
multiple primary
Online AccessGet more information

Cover

More Information
Summary:This is a case report of simultaneous primary leiomyosarcomas in the spine and liver. A 64-year-old woman presented to the Seoul Paik Hospital with epigastric discomfort and constipation that she had experienced for two months. A physical examination revealed severe tenderness around the thoraco-lumbar junction. Esophagogastroduodenoscopy showed an ulceroinfiltrative lesion on the gastric angle. An abdominopelvic CT scan revealed two low attenuated lesions in the S4 and S8 regions of the liver, as well as a soft tissue mass at the T10 vertebra. Percutaneous ultrasonography-guided needle biopsy of the hepatic nodules revealed a leiomyosarcoma. The tumor at the T10 vertebra was removed to avoid spinal cord compression. The histology of this tumor was compatible with that of leiomyosarcoma. The potential primary sites for leiomyosarcoma, including the lung, thyroid, breast, kidney, genitourinary organs, and gastrointestinal tract, were subsequently investigated. No detectable abnormal findings that would suggest the origin of the tumor were found. Synchronous primary leiomyosarcomas in the spine and liver are quite rare and have a poor prognosis.
ISSN:2233-6869