Late Liver Metastases of Small Bowel Leiomyoma. The Difficulty in Assessing Malignancy in Gastro-intestinal Smooth Muscle Tumours

G. R. SalariDepartments of Digestive Surgery, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium

M. O. PenyDepartments of Pathology, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium

J. Van de StadtDepartments of Digestive Surgery, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium

V. DonckierDepartments of Digestive Surgery, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium

M. ZalcmanDepartments of Radiology, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium

M. GelinDepartments of Digestive Surgery, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium

Abstract

Two cases of small bowel tumour, resected and considered as benign leiomyomas, are reported. Both developed late hepatic metastases, 6 and 8 years after surgery respectively, diagnosed as leiomyosarcoma. Emphasizing the difficulties in assessing malignancy of these tumours and considering local and far dissemination, a long-term follow-up is recommended after surgical resection.

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Late Liver Metastases of Small Bowel Leiomyoma. The Difficulty in Assessing Malignancy in Gastro-intestinal Smooth Muscle Tumours

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Late Liver Metastases of Small Bowel Leiomyoma. The Difficulty in Assessing Malignancy in Gastro-intestinal Smooth Muscle Tumours

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