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World J Clin Cases. 2018 Aug 16;6(8):219-223. doi: 10.12998/wjcc.v6.i8.219.

Multimodal treatments of right gastroepiploic arterial leiomyosarcoma with hepatic metastasis: A case report and review of the literature.

World journal of clinical cases

Hyung-Il Seo, Dong-Il Kim, Youngsoo Chung, Chang In Choi, Minjoo Kim, Sungpil Yun, Suk Kim, Do Youn Park

Affiliations

  1. Department of Surgery, Biomedical Research Institute, Pusan National University Hospital, Busan 49241, South Korea.
  2. Department of Surgery, Pusan National University Yangsan Hospital, Yangsan 50612, South Korea. [email protected].
  3. Department of Surgery, On Hospital, Busan 49241, South Korea.
  4. Department of Radiology, Biomedical Research Institute, Pusan National University Hospital, Busan 49241, South Korea.
  5. Department of Pathology, Biomedical Research Institute, Pusan National University Hospital, Busan 49241, South Korea.

PMID: 30148151 PMCID: PMC6107531 DOI: 10.12998/wjcc.v6.i8.219

Abstract

Leiomyosarcoma of an artery is very rare, and cases with hepatic metastasis are even rarer. We describe a case of a 70-year-old man who after follow up due to rectal cancer, presented with an intra-abdominal hypervascular mass and a hepatic mass. After surgical resection, it was diagnosed as a leiomyosarcoma of the right gastroepiploic artery with hepatic metastasis. Multiple metastases had recurred at the liver. He has survived more than 53 mo through multimodal treatments (three surgical resections, radiofrequency ablation, transarterial chemoembolization, chemotherapies, and targeted therapy). Multimodal treatments, including active surgical resection, may be helpful in the treatment of aggressive diseases such as arterial leiomyosarcoma with metastasis.

Keywords: Arterial leiomyosarcoma; Hepatic metastasis; Intra-abdominal arterial leiomyosarcoma; Multimodal treatments; Surgical resection

Conflict of interest statement

Conflict-of-interest statement: The authors have no conflicts of interest to declare.

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