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Synchronous coexistence of liver metastases from cecal leiomyosarcoma and rectal adenocarcinoma: A case report

World Journal of Gastroenterology 2017年第9期23卷 1725-1734页

作者： Hideki Aoki Takashi Arata Masashi Utsumi Yutaka Mushiake Tomoyoshi Kunitomo Isao Yasuhara Fumitaka Taniguchi Koh Katsuda Kohji Tanakaya Hitoshi Takeuchi Rie Yamasaki Department of Surgery Iwakuni Clinical Center Department of Pathology Iwakuni Clinical Center

multiple liver tumors represent a challenging condition for abdominal surgeons both in the selection of technique and the rarity of diagnosis. There are no case reports on co-existence of liver metastases from both intestinal leiomyosarcoma and adenocarcinoma. The patient described in this report successfully underwent resection of both primary lesions and liver metastases in combination with chemotherapy. As for the leiomyosarcoma, the primary cecal lesion was revealed more than three years after the patient's first visit. Peritoneal, lymph-node, and lung recurrences were observed afterward, and thus surgeries on those regions were performed. Pathologically, the peritoneal and lung recurrences comprised leiomyosarcoma and the lymphnode recurrence was diagnosed as adenocarcinoma. Despite newly discovered multiple lung recurrences and regional lymph-node metastases, the patient lived a normal life for 73 mo after the initial operation based on multidisciplinary therapy. He ultimately died of liver failure due to invasive lymph-node recurrence from the rectal adenocarcinoma, in addition to multiple lung recurrences from the leiomyosarcoma. Hepatic recurrence did not occur in this patient's case, which appears to be one reason for his long-term survival.

关键词： Leiomyosarcoma Chemotherapy multiple liver tumors liver metastasis Adenocarcinoma

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