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KMID : 0360319950270010144
Journal of Korean Cancer Research Association
1995 Volume.27 No. 1 p.144 ~ p.150
A Case of Exogastric Growing Giant Gastric Leiomyoblastoma with Fistula
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Abstract
Liomyoblstoma, which has first proposed by Stout in 1962, is a rare disease that has a benign clinical course. But about 8~13% of cases change to malignancy. In complicated case, hemorrhage, necrosis, fistula formation can occur.
A case of exogastric growing giant leiomyoblastoma with fistula manifested as hamate-mesis is presented. A 61-year old male patient suffering from massive hematemesis and epigastric discomfort for 1 month was proved to have large gastric
leiomyoblastoma
which had communicating fistula into the gastric lumen by gastrofibroscopy and abdominal CT scanning. At operatin, the mass was originated at lesser curvature of the stomach ad located under posterior wall of the stomach and the transverse
mesocolon was
protruded by the mass. The easily bleeding, multi-pedunculated mass was resected and diagnosed as leiomyoblastoma by Masson -tri hrome and Vimentin stain. He is good health without evidence of disease, 2 months after operation.
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