Small Bowel Leiomyosarcoma – a case report

Detalhes bibliográficos
Autor(a) principal: Capote, Hugo
Data de Publicação: 2010
Outros Autores: Figueiredo, Gilberto, Aguero, Coral, Soeiro, Eduardo F., Azedo, Jaime
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://revista.spcir.com/index.php/spcir/article/view/141
Resumo: Leiomyosarcomas (LMS) are rare mesenchymal tumours. LMS of the small bowel originate from smooth muscle cells from muscularis propria, with a peak of incidence around 60 years of age, without characteristic clinical signs, being, most of the time, detected when studying the cause of an occult haemorrhage or intestinal occlusion, with findings in CT scan or US. We report a case of a female patient, of 53 years of age, brought at our assistance with complaints of hipogastric discomfort, with a palpable mass in hipogastro and umbilical region, and that after performing an abdominal CT scan, was disclosed a mass, with 12 cm, appearing to have involvement of jejunal loops. In surgery, a jejunal mass, with extra-luminal growth was disclosed and excised, whose histology identified as being a Leiomyosarcoma. With a 24 month of follow-up, there is no recurrence. Keywords: leiomyosarcoma; neoplasia; small bowel; 
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spelling Small Bowel Leiomyosarcoma – a case reportLeiomiosarcoma do Intestino Delgado – um caso clínicoLeiomyosarcomas (LMS) are rare mesenchymal tumours. LMS of the small bowel originate from smooth muscle cells from muscularis propria, with a peak of incidence around 60 years of age, without characteristic clinical signs, being, most of the time, detected when studying the cause of an occult haemorrhage or intestinal occlusion, with findings in CT scan or US. We report a case of a female patient, of 53 years of age, brought at our assistance with complaints of hipogastric discomfort, with a palpable mass in hipogastro and umbilical region, and that after performing an abdominal CT scan, was disclosed a mass, with 12 cm, appearing to have involvement of jejunal loops. In surgery, a jejunal mass, with extra-luminal growth was disclosed and excised, whose histology identified as being a Leiomyosarcoma. With a 24 month of follow-up, there is no recurrence. Keywords: leiomyosarcoma; neoplasia; small bowel; Objectivo: Apresenta-se o caso de doente com diagnóstico de leiomiosarcoma do intestino delgado e revisão da literatura. Apresentação do caso: Descreve-se o caso clínico de uma doente de 53 anos de idade, enviada à nossa consulta, por massa abdominal diagnosticada 2 semanas antes. Realizou TAC abdomino-pélvica nesse mesmo dia, que confirmou existência de “massa infra-mesocólica, com 12 cm de maior diâmetro, sólida e homogénea com áreas de necrose, parecendo envolver ansas do intestino delgado”. Foi submetida a laparotomia exploradora no dia 25/10/06, tendo-se confirmado a existência de massa abdominal, envolvendo uma ansa jejunal, cujo exame histopatológico revelou tratar-se de um leiomiosarcoma do intestino delgado. Conclusão: Os leiomiosarcomas do intestino delgado são raros, constituindo uma hipótese diagnóstica muito pouco frequente. A cirurgia mantém-se a única terapêutica curativa para esta patologia. Deve ser mantida uma vigilância apertada, visto apresentar um comportamento biológico imprevisível mas potencialmente muito agressivo, com metastização frequente. Palavras–chave: Leiomiosarcoma; neoplasia; intestino delgado; Sociedade Portuguesa de Cirurgia2010-09-28info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://revista.spcir.com/index.php/spcir/article/view/141Revista Portuguesa de Cirurgia; No 14 (2010): Setembro 2010 - II Série; 101-106Revista Portuguesa de Cirurgia; No 14 (2010): Setembro 2010 - II Série; 101-1062183-11651646-6918reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revista.spcir.com/index.php/spcir/article/view/141https://revista.spcir.com/index.php/spcir/article/view/141/140Copyright (c) 2016 Revista Portuguesa de Cirurgiainfo:eu-repo/semantics/openAccessCapote, HugoFigueiredo, GilbertoAguero, CoralSoeiro, Eduardo F.Azedo, Jaime2024-02-22T22:32:32Zoai:revista.spcir.com:article/141Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:10:52.421870Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Small Bowel Leiomyosarcoma – a case report
Leiomiosarcoma do Intestino Delgado – um caso clínico
title Small Bowel Leiomyosarcoma – a case report
spellingShingle Small Bowel Leiomyosarcoma – a case report
Capote, Hugo
title_short Small Bowel Leiomyosarcoma – a case report
title_full Small Bowel Leiomyosarcoma – a case report
title_fullStr Small Bowel Leiomyosarcoma – a case report
title_full_unstemmed Small Bowel Leiomyosarcoma – a case report
title_sort Small Bowel Leiomyosarcoma – a case report
author Capote, Hugo
author_facet Capote, Hugo
Figueiredo, Gilberto
Aguero, Coral
Soeiro, Eduardo F.
Azedo, Jaime
author_role author
author2 Figueiredo, Gilberto
Aguero, Coral
Soeiro, Eduardo F.
Azedo, Jaime
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Capote, Hugo
Figueiredo, Gilberto
Aguero, Coral
Soeiro, Eduardo F.
Azedo, Jaime
description Leiomyosarcomas (LMS) are rare mesenchymal tumours. LMS of the small bowel originate from smooth muscle cells from muscularis propria, with a peak of incidence around 60 years of age, without characteristic clinical signs, being, most of the time, detected when studying the cause of an occult haemorrhage or intestinal occlusion, with findings in CT scan or US. We report a case of a female patient, of 53 years of age, brought at our assistance with complaints of hipogastric discomfort, with a palpable mass in hipogastro and umbilical region, and that after performing an abdominal CT scan, was disclosed a mass, with 12 cm, appearing to have involvement of jejunal loops. In surgery, a jejunal mass, with extra-luminal growth was disclosed and excised, whose histology identified as being a Leiomyosarcoma. With a 24 month of follow-up, there is no recurrence. Keywords: leiomyosarcoma; neoplasia; small bowel; 
publishDate 2010
dc.date.none.fl_str_mv 2010-09-28
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dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv https://revista.spcir.com/index.php/spcir/article/view/141
url https://revista.spcir.com/index.php/spcir/article/view/141
dc.language.iso.fl_str_mv por
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dc.relation.none.fl_str_mv https://revista.spcir.com/index.php/spcir/article/view/141
https://revista.spcir.com/index.php/spcir/article/view/141/140
dc.rights.driver.fl_str_mv Copyright (c) 2016 Revista Portuguesa de Cirurgia
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2016 Revista Portuguesa de Cirurgia
eu_rights_str_mv openAccess
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dc.publisher.none.fl_str_mv Sociedade Portuguesa de Cirurgia
publisher.none.fl_str_mv Sociedade Portuguesa de Cirurgia
dc.source.none.fl_str_mv Revista Portuguesa de Cirurgia; No 14 (2010): Setembro 2010 - II Série; 101-106
Revista Portuguesa de Cirurgia; No 14 (2010): Setembro 2010 - II Série; 101-106
2183-1165
1646-6918
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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