Korean J Gastrointest Endosc > Volume 8(2); 1988 > Article

Korean Journal of Gastrointestinal Endoscopy 1988;8(2): 153-156.

십이지장 평활근 육종 1예 ( A Case of Leiomyosarcoma of the Duodenum )

조근태, 김정완, 최종도, 이경용, 김우중, 임규성 (Gun Tae Cho, Jung Wan Kim, Jong Do Choi, Kyung Yong Lee, Woo Joong Kim and Kyu Sung Rim)

Abstract

Malignant growth of the small bowel accounts for approximately 1 to 3 percent of malignant tumors of the gastrointestinal tract. Leiomyosarcomas are the second most common primary tumor of the small bowel, their frequency being one-third to one-half of adenocarcinoma. The common clinical symptoms of leiomyosarcoma of the small intestine are hemorrhage and abdominal pain. Accurate diagnosis cannot be based on solely on the roentgenographic finding, although in certain situations the dignosis of leiomyosarcoma may be suggested strongly. We report a case of bleeding leiomyosarcoma located in the second portion of the duodenum which was first recognized by endoscopic examination and confirmed by explolaparotomy.