Two Cases of Liver Metastases from Gastric Leiomyosarcoma

Kimimasa Ikeda, Nobuhiro Shibata, Naoki Fujimoto, Takao Aikawa, Naozumi Higaki, Sadao Noguchi

Department of Surgery, Nishinomiya Municipal Central Hospital

We report two cases of liver metastasis from gastric leiomyosarcoma with long-term survival. In case 1 the patient was a 70-year-old man who was diagnosed as having liver metastasis from gastric leiomyosarcoma 1 year and 7 months after proximal gastrectomy. Partial resection of liver metastases and adjuvant chemotherapy via the portal vein was performede. The patient had survived 3 years and 5 months after the liver resection without recurrence. In case 2 the patient was a 5l-year-old man who was diagnosed as having liver metastasis from gastric leiomyosarcoma 2 years and 8 months after total residual gastrectomy. Transcatheter arterial embolization (TAE) was performed three times without reduction of the liver metastases. The patient has survived 4 years and 10 months after diagnosis of liver metastasis. Although the prognosis for patients with liver metastasis from gastric leiomyosarcoma is poor, both of these patients have survived for a long time. The mean survival period for 16 patients in the Japanese literature after resection of liver metastases from gastric leiomyosarcoma is 19.1 months, and 5 patients survived over 2 years. We suggest that resection of liver metastases from gastric leiomyosarcoma be performed when it is indicated, and when it is not, that TAE be performed many times to achieve long survival.

Key words
gastric leiomyosarcoma, liver metastasis

Reprint requests
Kimimasa Ikeda Department of Surgery, Nishinomiya Municipal Central Hospital
8-24 Hayashida-cho, Nishinomiya-city, 663 JAPAN

Accepted
October 7, 1992

To read the PDF file you will need Abobe Reader installed on your computer.