Abstract

• A case of leiomyosarcoma in stomach is reported with is rare disease and good prognosis rather than other adenocarcinoma of stomach. The tumor occurs in approximately equal frequency in both sex. It is seen at a somewhat young age than carcinoma of the stomach. This 26 year old female patient was admitted to our hospital on 14th Oct. 1930, with melena, dizziness and epigatstric mass. Physical examination revealed pale conjunctiva and questionable ill-defineed mass was palpated in the epigastric region. The C.B.C was obtained R.B.C.I. 8 million/mm³, HB. 5.0gm%, Hct. 15%, and W.B.C. 5,500/mm³ (Neutrophil seg. 70% and Lymphocyte 30%.) The upper G-I series showed multilobulated mass in lesser curvature of stomach. The massed have smooth and sharp bordered and overlying mucosa shows marked effacement. Superficial ulceration is also noted in the lesion. There is no evidence of rigidity or passage disturbance. Remain stomach and duodenum are within normal limit. Pathological examination was noted; multile, large, bulky intra-luminal massed are seen in the lesser curvature, with fungate into the gastric lumen and project subserosally. However, sections from tumor show non encapsulated multinodular tumor consisting of spindle and polygonal, moderately pleomorphic tumor cell by microscopy. There are some tumor cells arranged in whirl pattern with edematous highly vascularized stroma. Occasionally mitosis was vasible. This paper is concerned with our experience of a rare case of leiomyosarcoma of the stomach and reviewed with current concepts in the management in the literature.