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A Journal on Surgery

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Chirurgia 2001 December;14(6):219-24

language: Italian

Massive gastric bleeding in a patient with gastric leiomyosarcoma

Stefenelli N., Cutrale O., Vassiliadis A., Less A., Gennaro A.


The authors report a case of gastric leiomyosarcoma in a young man accompanied by severe gastric bleeding at onset. Sarcoma of the stomach are extremely rare and represent approximately 1% of all gastric cancers. The rarity of this pathology often makes diagnosis difficult and late. However, diagnosis is almost always confirmed by histological analysis after the exeresis of the neoformation. This leads to a delay in the start of treatment which worsens the course of this pathology, which tends to be fatal. Surgery plays a prime role both in the diagnosis and in treatment. Starting from the case report described, the authors analyse the diagnostic possibilities, the therapeutic and prognostic prospects through a review of the most recent literature on this subject.

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