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- 胃腸道轉移性癌以胃腸道慢性出血及腹部大型腫塊形式表現
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題名 | Lower Gastrointestinal Bleeding due to Small Bowel Metastasis from Leiomyosarcoma in the Tibia=下消化道出血表現的轉移性小腸惡性平滑肌瘤 |
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作者姓名(中文) | 江坤俊; 葉俊男; 施信農; 詹益銀; 陳敏夫; | 書刊名 | 長庚醫學 |
卷期 | 29:4 民95.07-08 |
頁次 | 頁430-434 |
分類號 | 416.243 |
關鍵詞 | 惡性平滑肌瘤; 小腸轉移; Leiomyosarcoma; Small bowel metastasis; |
語文 | 英文(English) |
中文摘要 | 原發性骨頭的惡性平滑肌瘤轉移到小腸是非常少見的。在這我們報告一個案例,一位50歲的男性病患,主訴近兩個月來身體虛弱,食慾不振併有體重減輕6公斤,並有斷斷續續的黑便,他在7年前曾因左脛骨之惡性平滑肌肉瘤接受膝上之截肢手術,在這段期間並無復發之跡象;因上述之問題我們安排了電腦斷層及小腸攝影發現了多葉狀的迴腸腫瘤,手術切除後病理報告為轉移的惡性平滑肌瘤,術後6個月的追蹤並無復發或轉移跡象,病人之症狀也獲得改善。就我們目前所知,這是第一例以下消化道出血表現的轉移性小腸惡性平滑肌瘤。 |
英文摘要 | Small bowel metastasis from primary bone leiomyosarcoma is very rare. Here we report on a 50-year-old man who presented with general weakness, weight loss (six kg in two months) and intermittent tarry stools for two months. He had undergone an above-knee amputation for left tibia leiomyosarcoma seven years previously. No local recurrence and/or distant metastasis developed during a seven-year period of follow-up. Subsequent imaging study revealed a multilobulated mass in the ileum. He received segmental resection of the small bowel and a multilobulated mass was noted in the submucosal layer of the ileum with mucosa ulceration. His postoperative course was uneventful. Histopathological examination of the resected mass revealed small bowel metastatic leiomyosarcoma. No local recurrence or distant metastases were detected during a six-month follow-up period. To the best of our knowledge, this is the first report of small bowel metastasis from primary bone leiomyosarcoma presenting with lower gastrointestinal bleeding. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。