Authors: J. Knap 1,2 Authors place of work: Chirurgické oddělení, Nemocnice Vyškov, p. o. 1; II. interní klinika – gastroenterologická a geriatrická LF UP a FN Olomouc 2 Published in the journal: Gastroent Hepatol 2025; 79(3): 197-201 Category: Kazuistika doi: https://doi.org/10.48095/ccgh2025197
Leiomyosarcoma (LMS) of the gastrointestinal tract, and particularly primary LMS of the colon, is an extremely rare and highly aggressive malignancy with a poor prognosis. The five-year survival rate is approximately 50% for localized disease. It does not exceed 10% in cases of metastatic disease. Its manifestations can vary, ranging from acute symptoms such as bleeding or intussusception to more prolonged presentations. Due to its rarity and absence of specific markers, preoperative diagnosis is virtually impossible. This report presents the case of a 67-year-old female patient admitted to our facility with a clinical representation suggestive of a periappendiceal infiltrate/abscess, which was ultimately revealed to be a primary LMS of the dolichotransverse colon located in the right lower abdomen. Following endoscopic diagnostic resection, surgical treatment with curative intent was performed, as no dissemination of the disease was detected preoperatively.
leiomyosarcoma – colonoscopy – colon cancer
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Doručeno/Submitted: 25. 4. 2025
Přijato/Accepted: 18. 5. 2025
Korespondenční autor
MUDr. Jan Knap
Chirurgické oddělení
Nemocnice Vyškov, p. o.
Purkyňova 235/36
682 01 Vyškov
knap@nemvy.cz
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