Case Report

Volume: 5 | Issue: 4 | Published: Apr 24, 2021 | Pages: 129 - 132 | DOI: 10.24911/ejmcr/173-1611396460

Case report of primary mesenteric leiomyosarcoma


Authors: Muhammad Areeb Ashfaq , Summaya Saeed , Ammara Salam , Pirhay Fatma , Danish Faheem , Aun Ali Khawaja


Article Info

Authors

Muhammad Areeb Ashfaq

Aga Khan University Hospital, Karachi, Pakistan

Summaya Saeed

Dow University of Health Sciences, Karachi, Pakistan

Ammara Salam

Fazaia Ruth Pfau Medical College, Karachi, Pakistan

Pirhay Fatma

Liaquat University of Medical & Health Sciences, Karachi, Pakistan

Danish Faheem

Ziauddin Medical University, Karachi, Pakistan

Aun Ali Khawaja

Fazaia Ruth Pfau Medical College, Karachi, Pakistan.

Publication History

Received: January 28, 2021

Revised: March 23, 2021

Accepted: March 25, 2021

Published: April 24, 2021


Abstract


Background: Mesenteric Leiomyosarcoma (LMS) is a rare soft tissue tumor that takes its origin from smooth muscle cells, usually mesenteric blood vessels. Immunohistochemical (IHC) staining is deemed necessary for the diagnosis. Surgical resection with negative microscopic margins is the best treatment available, with limited role of chemo and radiotherapy. Case Presentation: We present a case of 46-year-old male who presented with large abdominal mass and obstructive symptoms. Surgical excision was performed and diagnosis of LMS was established on the basis of IHC stains. Currently, the patient is under follow up and has not developed any recurrence. Conclusion: Due to limited cases recorded globally, definitive guidelines for the management of this tumor are lacking. Work needs to be done to explore further about Primary Mesenteric LMS.

Keywords: Leiomyosarcoma, biopsy, large core-needle, mesenchymal tumor, case report, green