Abstract
Leiomyosarcoma of the stomach is relatively uncommon. Its prognosis is not always favorable and we often have difficulties in diagnosing. In this paper 2 cases of leiomyosarcoma of the stomach with metachronous liver metastasis, each of which underwent hepatectomy 3 or 2 times respectively, are described. Case 1 was 52-year-old woman. She was pointed out liver metastasis in the right lobe by ultrasonography 13 months after total gastrectomy, and was operated on. On the 21st months after the first operation, the patient underwent resection of left caudate lobe of the liver with left lateral segmentectomy. In addition, partial resection of the right lobe was performed on 34th month. Case 2 was a 36-year-old woman. Following total gastrectomy, she was operated on for liver metastasis on 7th and 12th month. Postoperative course was uneventful in both cases. No recurrence has not been noted so far. In posthepatectomy patients if they are strictly followed up, if we make usual efforts to find out new metastasized lesion, and if we can select appropriate indication even after detecting a new hepatic lesion, hepatectomy appears to be helpful to improve the prognosis.
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