Mesenteric Lymph Node Recurrence of a Primary Colorectal Leiomyosarcoma
Primary colorectal leiomyosarcoma is an excessively rare entity. It is associated with an aggressive behavior and typically favor hematogenous spread. The current standard of care is surgical resection. A 49-year-old patient presented with a 2-month history of fever. A PET-scan revealed a hypermetab...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2020/6935834 |
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| _version_ | 1832565994856382464 |
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| author | Amélie Beauchamp Roy Hajjar Sharmila Khullar Mathieu Latour Frank Schwenter Herawaty Sebajang |
| author_facet | Amélie Beauchamp Roy Hajjar Sharmila Khullar Mathieu Latour Frank Schwenter Herawaty Sebajang |
| author_sort | Amélie Beauchamp |
| collection | DOAJ |
| description | Primary colorectal leiomyosarcoma is an excessively rare entity. It is associated with an aggressive behavior and typically favor hematogenous spread. The current standard of care is surgical resection. A 49-year-old patient presented with a 2-month history of fever. A PET-scan revealed a hypermetabolic mass in the transverse colon, and colonoscopy confirmed a tumor. A right hemicolectomy was performed. Histopathological diagnosis was of a leiomyosarcoma. Fourteen months after the surgery, a follow-up abdominal scan revealed a 2 cm mesenteric lymph node that was hypermetabolic on PET-scan. The mesenteric lymph node was resected and histopathology confirmed a leiomyosarcoma metastasis. This case opens the controversy on the management of rare lymph node recurrences in colorectal leiomyosarcoma. |
| format | Article |
| id | doaj-art-5e5d17e65c764830ae2627d218f10d5a |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-5e5d17e65c764830ae2627d218f10d5a2025-02-03T01:05:18ZengWileyCase Reports in Surgery2090-69002090-69192020-01-01202010.1155/2020/69358346935834Mesenteric Lymph Node Recurrence of a Primary Colorectal LeiomyosarcomaAmélie Beauchamp0Roy Hajjar1Sharmila Khullar2Mathieu Latour3Frank Schwenter4Herawaty Sebajang5Department of Surgery, Université de Montréal, Montreal, CanadaDepartment of Surgery, Université de Montréal, Montreal, CanadaDepartment of Pathology and Cellular Biology, Centre Hospitalier de l’Université de Montréal (CHUM), Montreal, CanadaDepartment of Pathology and Cellular Biology, Centre Hospitalier de l’Université de Montréal (CHUM), Montreal, CanadaDepartment of Surgery, Université de Montréal, Montreal, CanadaDepartment of Surgery, Université de Montréal, Montreal, CanadaPrimary colorectal leiomyosarcoma is an excessively rare entity. It is associated with an aggressive behavior and typically favor hematogenous spread. The current standard of care is surgical resection. A 49-year-old patient presented with a 2-month history of fever. A PET-scan revealed a hypermetabolic mass in the transverse colon, and colonoscopy confirmed a tumor. A right hemicolectomy was performed. Histopathological diagnosis was of a leiomyosarcoma. Fourteen months after the surgery, a follow-up abdominal scan revealed a 2 cm mesenteric lymph node that was hypermetabolic on PET-scan. The mesenteric lymph node was resected and histopathology confirmed a leiomyosarcoma metastasis. This case opens the controversy on the management of rare lymph node recurrences in colorectal leiomyosarcoma.http://dx.doi.org/10.1155/2020/6935834 |
| spellingShingle | Amélie Beauchamp Roy Hajjar Sharmila Khullar Mathieu Latour Frank Schwenter Herawaty Sebajang Mesenteric Lymph Node Recurrence of a Primary Colorectal Leiomyosarcoma Case Reports in Surgery |
| title | Mesenteric Lymph Node Recurrence of a Primary Colorectal Leiomyosarcoma |
| title_full | Mesenteric Lymph Node Recurrence of a Primary Colorectal Leiomyosarcoma |
| title_fullStr | Mesenteric Lymph Node Recurrence of a Primary Colorectal Leiomyosarcoma |
| title_full_unstemmed | Mesenteric Lymph Node Recurrence of a Primary Colorectal Leiomyosarcoma |
| title_short | Mesenteric Lymph Node Recurrence of a Primary Colorectal Leiomyosarcoma |
| title_sort | mesenteric lymph node recurrence of a primary colorectal leiomyosarcoma |
| url | http://dx.doi.org/10.1155/2020/6935834 |
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