Year 2023 / Volume 115 / Number 6
Letter
Primary gastric leiomyosarcoma presenting as a giant polyp

328-329

DOI: 10.17235/reed.2022.9165/2022

Cristiana Sequeira, Mariana Coelho, Inês Santos, Sara Lopes, Ricardo Fonseca, João Mangualde, Ana Paula Oliveira,

Abstract
We present the case of a 35-year-old woman with previous hereditary retinoblastoma treated with radiotherapy, admitted due to severe iron deficiency anemia. Upper endoscopy and endoscopic ultrasound revealed a 5-cm polypoid lesion in the fundus arising from muscularis mucosa. Histological findings favored a sarcoma with muscular differentiation. After exclusion of metastatic disease, the patient underwent surgery and diagnosis of primary gastric leiomyosarcoma was confirmed. We report a case of double rarity of gastric leiomyosarcoma, as she presented with severe anaemia from a polypoid lesion of the gastric fundus.
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References
1. Garg R, AlRajjal A, Berri R, Barawi M. Primary Gastric Leiomyosarcoma: a Case Report and Review of the Literature. J Gastrointest Canc. 2020 Mar;51(1):335–40.
2. Kang WZ, Xue LY, Tian YT. Leiomyosarcoma of the stomach: A case report. WJCC. 2019 Nov 6;7(21):3575–82.
3. Dimaras H, Kimani K, Dimba EA, Gronsdahl P, White A, Chan HS, et al. Retinoblastoma. The Lancet. 2012 Apr;379(9824):1436–46.
4. Pauser U, Grimm H. Intramucosal leiomyosarcoma of the stomach following hereditary retinoblastoma in childhood – a case report and review of the literature. World J Surg Onc. 2008 Dec;6(1):131.
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Sequeira C, Coelho M, Santos I, Lopes S, Fonseca R, Mangualde J, et all. Primary gastric leiomyosarcoma presenting as a giant polyp. 9165/2022


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Publication history

Received: 28/08/2022

Accepted: 30/08/2022

Online First: 12/09/2022

Published: 06/06/2023

Article Online First time: 15 days

Article editing time: 282 days


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