Lavith Kuttichi, Vishwanath Pai, Pari Muthukumar. Sri Ramachandra medical college
Introduction: Leiomyosarcoma of the duodenum is a rare disease it can occurs in both sexes with approximately the same frequency. Peak incidence is in the 40 to 49 year age. Leiomyosarcoma is relatively infrequent compared to adenocarcinoma of the duodenum. It may develop from all parts of the gastrointestinal tract. The duodenal localisation is rare.
Case report: A 64 year old male presented with complaints of abdominal pain for one month in the epigastric region which increased after food intake. No obstructive symptoms. On palpation, palpable mass occupying epigastric and right hypochondrium. On evaluation with CECT abdomen shows growth in the second part of duodenum . Patient underwent pancreaticoduodenectomy.The postoperative course was uneventful. Histopathological examination revealed as leiomyosarcoma of second part of duodenum. On follow-up at 4 weeks, patient was asymptomatic.
Conclusion: Leiomyosarcoma of the duodenum is relatively infrequent compared to adenocarcinoma of the duodenum. They are usually large tumours that involve the full thickness of the bowel wall and present in small intestine and Colon. Present with intestinal bleeding ,obstruction and weight loss .They are aggressive often Metastasis to peritoneum, liver ,lungs and bone.
Clinical latency makes the diagnosis often at an advance stage stage.The most effective surgical therapy has been radical local excision of the tumor. Extensive removal of regional lymphatics would not seem to be a fruitful pursuit, since nodal metastases are rare. Since the techniques of pancreatic and duodenal surgery have been refined, excisional therapy has been possible with a low mortality.Aggressive surgical therapy is indicated both for relief of symptoms and because of the definite chance for cure in some cases.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 87219
Program Number: P151
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster