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KMID : 0870419980020010133
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Korean Journal of Hepato-Biliary-Pancreatic Surgery
1998 Volume.2 No. 1 p.133 ~ p.137
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A Case of Intestinal Leiomyosarcoma with Metastasis to the Liver
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Baek Moo-Jun
Kim Dae-Joong
Lee Moon-Soo
Kim Hyung-Chul
Kim Chang-Ho
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Abstract
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Leiomyosarcoma of the intestine is an uncommon malignant tumor of the small and large bowels. It may metastasize mostly to the peritoneum, omentum and liver. We describe a case of a liver metastasis from ileal leiomyosarcoma which was treated by right hepatic lobectomy. Ultrasonography revealed multiple cysts in both lobes of liver and pelvic mass. Computerized tomography of the abdomen revealed that lobulated, marginated, low density mass was noted in ileal loop, and multiple, well-defined, low density masses were identified in both lobes of the liver. The patient underwent exploratory laparotomy and removal of the ileal leiomyosarcoma. One month later, the patient underwent a right hepatic lobectomy and removal of a cystic mass on the liver dome of the left lobe. The patient recovered and was discharged by postoperative day 24.
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KEYWORD
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Leiomyosarcoma, Liver metastasis
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