Published online Apr 27, 2018. doi: 10.4254/wjh.v10.i4.402
Peer-review started: January 20, 2018
First decision: February 28, 2018
Revised: March 10, 2018
Accepted: April 2, 2018
Article in press: April 3, 2018
Published online: April 27, 2018
Metastatic hepatic leiomyosarcoma associated with STUMP in a broad ligament was treated by laparoscopic partial liver resection.
Preoperative imaging tests and past medical history strongly suggested that the lesion was an atypical malignant tumor.
Hepatocellular carcinoma, Hepatic hemangioma, Metastatic hepatic tumor.
Mild dysfunction of aspartate aminotransferase and alanine aminotransferase consistent with suspected NASH.
CE-CT and EOB-MRI showed a heterogeneous mass enhancement, and FDG-PET strongly suggested malignant liver tumor.
We diagnosed the condition as metastatic hepatic leiomyosarcoma.
The patients were treated with ultrasound-guided pure laparoscopic partial liver resection with vessel-sealing devices using the crush clamping method and Pringle maneuver.
We share this case to provide important knowledge regarding the appropriate treatment method for metastatic hepatic leiomyosarcoma.