Fukui K, Takase N, Miyake T, Hisano K, Maeda E, Nishimura T, Abe K, Kozuki A, Tanaka T, Harada N, Takamatsu M, Kaneda K. Review of the literature laparoscopic surgery for metastatic hepatic leiomyosarcoma associated with smooth muscle tumor of uncertain malignant potential: Case report. World J Hepatol 2018; 10(4): 402-408 [PMID: 29713398 DOI: 10.4254/wjh.v10.i4.402]
Corresponding Author of This Article
Nobuhisa Takase, MD, PhD, Doctor, Surgeon, Surgical Oncologist, Department of Surgery, Kakogawa Central City Hospital, 439, Honmachi, Kakogawa-cho, Kakogawa 675-8611, Japan. no-takase@kakohp.jp
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Hepatol. Apr 27, 2018; 10(4): 402-408 Published online Apr 27, 2018. doi: 10.4254/wjh.v10.i4.402
Review of the literature laparoscopic surgery for metastatic hepatic leiomyosarcoma associated with smooth muscle tumor of uncertain malignant potential: Case report
Keisuke Fukui, Nobuhisa Takase, Taiichiro Miyake, Koji Hisano, Eri Maeda, Tohru Nishimura, Koichiro Abe, Akihito Kozuki, Tomohiro Tanaka, Naoki Harada, Manabu Takamatsu, Kunihiko Kaneda, Department of Surgery, Kakogawa Central City Hospital, Kakogawa 675-8611, Japan
Author contributions: Takase N and Takamatsu M operated on the patient and designed the report; Miyake T, Hisano K, Maeda E, Nishimura T, Abe K, Kozuki A, Tanaka T and Harada N drafted the paper; Kaneda K critically revised the paper with an important conceptual and editorial input.
Informed consent statement: The patients participating in the study provided informed written consent.
Conflict-of-interest statement: The authors declare no conflict of interest associated with this manuscript.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Nobuhisa Takase, MD, PhD, Doctor, Surgeon, Surgical Oncologist, Department of Surgery, Kakogawa Central City Hospital, 439, Honmachi, Kakogawa-cho, Kakogawa 675-8611, Japan. no-takase@kakohp.jp
Telephone: +81-79-4515500 Fax: +81-79-4515548
Received: January 19, 2018 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 Processing time: 97 Days and 21.7 Hours
ARTICLE HIGHLIGHTS
Case characteristics
Metastatic hepatic leiomyosarcoma associated with STUMP in a broad ligament was treated by laparoscopic partial liver resection.
Clinical diagnosis
Preoperative imaging tests and past medical history strongly suggested that the lesion was an atypical malignant tumor.
Mild dysfunction of aspartate aminotransferase and alanine aminotransferase consistent with suspected NASH.
Imaging diagnosis
CE-CT and EOB-MRI showed a heterogeneous mass enhancement, and FDG-PET strongly suggested malignant liver tumor.
Pathological diagnosis
We diagnosed the condition as metastatic hepatic leiomyosarcoma.
Treatment
The patients were treated with ultrasound-guided pure laparoscopic partial liver resection with vessel-sealing devices using the crush clamping method and Pringle maneuver.
Experiences and lessons
We share this case to provide important knowledge regarding the appropriate treatment method for metastatic hepatic leiomyosarcoma.
