PROGNOSTIC FACTORS OF 28 LEIOMYOSARCOMAS OF THE SMALL-INTESTINE

  • 1 January 1982
    • journal article
    • research article
    • Vol. 155  (2) , 197-202
Abstract
Leiomyosarcoma of the small intestine is a rare tumor, composing 0.2% of all malignant tumors of the gastrointestinal tract. The charts of 28 patients were reviewed; the outstanding characteristics were a slow growing but sometimes fast growing locally malignant lesion, more than half being in the ileum. Arteriograms are better than a roentgenographic series of the small intestine for diagnosis. Adjuvant therapy is probably of no benefit. Between histologically benign leiomyomas and malignant leiomyosarcomas, there is a 3rd group with histologic manifestations of malignancy and good prognosis, 7 of 10 patients surviving to 5 yr. To define this group, an association of these 3 factors.sbd.duration of symptoms for > 1 yr, no metastasis and a tumor diameter of < 9 cm.sbd.is needed.

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