Radiologic evaluation of gastrointestinal leiomyosarcomatosis

Korman U., Ersavasti G., Kurugoglu S., Uygun N., Akman C.

EUROPEAN RADIOLOGY, vol.7, no.8, pp.1332-1334, 1997 (SCI-Expanded) identifier identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 7 Issue: 8
  • Publication Date: 1997
  • Doi Number: 10.1007/s003300050298
  • Journal Name: EUROPEAN RADIOLOGY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.1332-1334
  • Keywords: intestinal neoplasms, diagnosis, leiomyosarcoma, CT, MR imaging, PERITONEAL LEIOMYOSARCOMATOSIS, INTESTINAL LEIOMYOMAS, CT FINDINGS
  • Acibadem Mehmet Ali Aydinlar University Affiliated: Yes

Abstract

A 68-year-old woman who had previously undergone small intestinal resection because of leiomyosarcoma was referred to our clinic with epigastric pain. A double-contrast barium study and the subsequent abdominopelvic CT and abdominal MRI examinations demonstrated multiple extraluminal growing tumors arising from the walls of stomach, small bowell, and colon. A CT-guided aspiration biopsy revealed malignant mesenchymal tumor. The presence of disseminated intra-abdominal masses without concomitant ascites and invasion of tissue planes on CT in a patient operated on prior because of a leiomyosarcoma led to the diagnosis of gastrointestinal leiomyosarcomatosis. In this report we discuss the radiological approach to this rare entity.