Up-to-date approach to diagnostics and treatment of stomach leiomyomas: literature data and original case presentation
Abstract
The aim of clinical case presentation. To show diagnostics and treatment features of stomach leiomyomas at the example of original case presentation.
Features of clinical observation. Patient had asymptomatic course of large gastric leiomyoma. The neoplasm has been revealed accidentally at planned dynamic endoscopic control due to polyp of the stomach in past history of the patient. Leiomyoma has been removed not by major surgery with laparotomic access, but with the help of laparoscopic stomach resection.
Conclusion. Nowadays there is a complex of instrumental diagnostic methods that allows to verify precisely the diagnosis of stomach leiomyoma. In treatment of this tumor noninvasive surgery can be successfully applied.
About the Authors
Yu. V. DubolazovaRussian Federation
V. Т. Ivashkin
Russian Federation
N. N. Napalkova
Russian Federation
T. L. Lapina
Russian Federation
I. M. Shuleykina
Russian Federation
S. B. Kashevarov
Russian Federation
A. A. Sheptulin
Russian Federation
Z. A. Lemeshko
Russian Federation
M. Yu. Kon’kov
Russian Federation
I. A. Sokolina
Russian Federation
O. A. Sklyanskaya
Russian Federation
References
1. Василенко В.Х., Гребенев А.Л. Болезни желудка и двенадцатиперстной кишки. – М.: Медицина, 1981. – 344 с.
2. Василенко В.Х., Рапопорт С.И., Сальман М.М. и др. Опухоли желудка. – М.: Медицина, 1989. – 288 с.
3. Золотаревский В.Б., Берестова А.В. Патологическая анатомия доброкачественных опухолей желудка: Руководство по гастроэнтерологии / Под ред. Ф.И. Комарова, А.Л. Гребенева. – Т. 1. – М.: Медицина, 1995. – С. 560–562.
4. Кузин Н.М. Доброкачественные опухоли желудка: Руководство по гастроэнтерологии / Под ред. Ф.И. Комарова, А.Л. Гребенева. – Т. 1. – М.: Медицина, 1995. – С. 562–570.
5. Лемешко З.А., Расулов М.И., Османова З.М. Трансабдоминальное УЗИ в диагностике лейомиом желудка // Клин. мед. – 2006. – № 12. – С. 57–59.
6. Abraham S.C., Krasinskas A.M., Hofstetter W.L. et al. «Seedling» mesenchymal tumors (gastrointestinal stromal tumors and leiomyomas) are common incidental tumors of the esophagogastric junction // Am. J. Surg. Pathol. – 2007. – Vol. 31. – P. 1629–1635.
7. Agaimy A., Wьnsch P.H. True smooth muscle neoplasms of the gastrointestinal tract: morphological spectrum and classification in a series of 75 cases from a single institute // Langenbecks Arch. Surg.– 2007.–Vol. 392. – P. 75–81.
8. Chang F.Y., Shih C.Y., Lee S.D., Tsay S.H. The incidentally found leiomyoma that was in a resected stomach and its follow-up // Hepatogastroenterology. – 1998. – Vol. 45. – P. 563–566.
9. Chou F.F., Eng H.L., Sheen-Chen S.M. Smouth musle tumors of the gastrointestinal tract: analysis of prognostic factors // Surgery. – 1996. – Vol. 119. – P. 171–177.
10. Hotz J. Tumoren des Magens // Gastroenterologie / Hrsg. H. Goebell. – Mьnchen–Wien–Baltimore: Urban & Schwarzenberg, 1992. – S. 454–465.
11. Kawanowa K., Sakuma Y., Sakurai S. et al. High incidence of microscopic gastrointestinal stromal tumors in the stomach // Hum. Pathol. – 2006. – Vol. 37. – P. 1527–1535.
12. Klinische Gastroenterologie / Hrsg. E.G. Hahn, J.F. Riemann. – Bd. 1–2. – Stuttgart–New York: Georg Thieme Verlag, 2000. – 2189 s.
13. Lee M.J., Lim J.S., Kwon J.E. et al. Gastric true leiomyoma: computed tomographic findings and pathological correlation // J. Comput. Assist. Tomogr. – 2007. – Vol. 31. – P. 204–208.
14. Montgomery E., Fisher C. Gastrointestinal mesemchymal tumors // Gastrointestinal and liver pathology / Eds. Ch.A. Iacobuzio-Donahue, E.A. Montgomery. – Philadelphia: Churchill Livingstone Elsevier, 2005. – P. 204–234.
15. Tarcoveanu E., Bradea C., Dimofte G. et al. Laparoscopic wedge resection of gastric leiomyoma // J.Soc. Laparoendosc. Surg. Publ. – 2006. – Vol. 10. – P. 368–374.
Review
For citations:
Dubolazova Yu.V., Ivashkin V.Т., Napalkova N.N., Lapina T.L., Shuleykina I.M., Kashevarov S.B., Sheptulin A.A., Lemeshko Z.A., Kon’kov M.Yu., Sokolina I.A., Sklyanskaya O.A. Up-to-date approach to diagnostics and treatment of stomach leiomyomas: literature data and original case presentation. Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2008;18(6):81-87. (In Russ.)
JATS XML



























