J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 1563KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 91(2): 283-286, 1990

Case report

A CASE REPORT OF FIVE-YEAR SURVIVAL WITH REPEATED RESECTION OF METASTASES FROM JEJUNAL LEIOMYOSARCOMA

Department of Surgery, Shiga-Gamou Town Hospital, Shiga, Japan
1) First Department of Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan
2) Department of Surgery, Fukuchiyama National Hospital, Fukuchiyama, Japan

Takashi Shimotake, Genichi Suzuki, Junichi Okuzumi1), Yoshiro Chimori1), Takashi Yokota1), Yoshihiro Fujita2), Toshio Takahashi1)

A case of five-year survival of jejunal leiomyosarcoma with metastases to the liver and mesentery treated with four times surgery was reported here. Four metastatic lesions were detected in the sigmiod mesocolon once and in the liver three times and resected with hope of cure. The patient, a 37 years old male, tolerated surgical procedures including an extended right hepatic lobectomy and recovered each time. He is leading a satisfactory daily life 5 years and 3 months after the initial operation although multiple liver metastases were detected 10 months after the fourth operation. A positive surgical therapy is advocated in selected patients who have spreading leiomyosarcoma of the bowel.

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