Primary Leiomyosarcoma of Liver: A Rare Clinical Presentation
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 5, Issue 11
Abstract
Primary hepatic leiomyosarcoma are rare tumors with <30 cases reported in the English literature. Non-specific presentations and often diagnosis delayed until they reach a large size is the norm with therapy leading to an often dismal prognosis. A 67-year-old man presented complaining of abdominal pain and a palpable abdominal mass. Abdominal ultrasonography and abdominal computed tomography revealed a large tumor in the left lobe of the liver. Surgical exploration was undertaken, and an extended left hepatectomy with extension onto the dorsal part of segment 8 preserving the middle hepatic vein with partial resection of segment 6 was undertaken. The weight of the resected specimen was 1300 g of the left lobectomy specimen and 8 g of the segment 6 partial resection specimen. The pathology report confirmed the diagnosis of leiomyosarcoma. On immunohistochemistry, the tumor cells were positive for smooth muscle actin stain. The patient is on regular follow-up. We report the case of a resected primary hepatic leiomyosarcoma and emphasize the need for a global database for these rare tumors to promote a better and broader understanding of this less understood subject.
Authors and Affiliations
Rahul Chowdhry Kongara, K Vengadakrishnan
Keywords
Related Articles
- EP ID EP477843
- DOI -
- Views 118
- Downloads 0
Is Circumferential Assessment of Colonic Carcinoma by Computed Tomography Scan and Colonography enough to Predict the Staging?
Background: The modern treatment of rectal cancer relies on correct diagnosis which is a multidisciplinary approach by medical oncologists, radiation therapists, endoscopists, radiologists, and surgeons. Based on their d...
A Prospective Survival Analysis in Locally Advanced Carcinoma Cervix Patients Following Concurrent Chemoradiation with Weekly Cisplatin
Introduction: Cervical cancer is one of the most common cancers diagnosed in female patients in developing countries. Successful treatment leading to cure is the major concern for most patients. Aim: This study aims to a...
A Comparative Study of Injection Propofol Continuous Infusion and Bolus Doses for Maintenance of Anesthesia in Short Surgical Procedure
Introduction: propofol is an intravenous anesthetic that is being used since years and it is most commonly used induction agent now a days.it has become very popular because of its characteristics of smooth induction and...
Management of Term Singleton Transverse Lie: A Prospective Study
Introduction: Transverse lie of the fetus is a position when the long axis of fetus is approximately perpendicular to the long axis of mother. Spontaneous delivery of a term fetus is impossible with a persistent transver...
Hematocrit Spectrum in Dengue: A Prospective Study
Aim: Dengue occurs in epidemics in India, severe forms are lethal. Hematocrit aids in prognosis and effective management of dengue. Our study is to assess the impact of age and gender on hematocrit values, and the effect...