Recurrent Leiomyosarcoma of the Small Bowel: A Case Series.

Abstract:

BACKGROUND/AIM:Leiomyosarcoma is an extremely rare, small bowel neoplasm (2% of all gastrointestinal tumours). Early diagnosis is challenging due to the slow growth of the cancer. The biological behaviour of this group of tumours is aggressive, and the first-line treatment is surgical resection. PATIENTS AND METHODS:This is a report of 4 cases of small bowel leiomyosarcoma that were treated in the last ten years at Hospital San Martino: one involving the jejunum and three involving the ileum (age range=69-86 years). Three patients underwent surgical resection and one was treated with chemotherapy. RESULTS:All patients who were eligible for surgery underwent radical resection with R0 margins. Mean overall survival was 33 months (range=8-84 months). CONCLUSION:Specific guidelines for small bowel leiomyosarcoma do not currently exist and these rare cases should be discussed in a multidisciplinary context. The first treatment approach is surgery, and in some cases, multivisceral resection may be needed to obtain free margins, even in recurrent cases.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Ferrari C,DI Domenico S,Mascherini M,Santoliquido M,Mastracci L,DE Cian F

doi

10.21873/anticanres.14420

subject

Has Abstract

pub_date

2020-07-01 00:00:00

pages

4199-4204

issue

7

eissn

0250-7005

issn

1791-7530

pii

40/7/4199

journal_volume

40

pub_type

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