An oncological curiosity of a male patient with a huge leiomyoma of the terminal ileum

Abstract Leiomyoma is a smooth muscle tumour that can arise in any part of the body especially the uterus. Even though it is traditionally linked with hormonal influence, it can also develop in extrauterine organs with a slight female predominance. It is indistinguishable with gastrointestinal strom...

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Veröffentlicht in:Oxford Medical Case Reports 2020-10, Vol.2020 (10), p.353
Hauptverfasser: Zainudin, Syaza, Rajanthran, Saravana Kumar, Azizan, Nornazirah, Hayati, Firdaus, Ginawoi, Joriana, Suhaimi, Khairunnisa Aini, Voo, Wan Yee Lilian, Kiram, Mohd Fazri, Md Jaki, Muhammad Izzuddin, Abd Aziz, Siti Haja, Nacathiran, Subashini Thevi Nach
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container_issue 10
container_start_page 353
container_title Oxford Medical Case Reports
container_volume 2020
creator Zainudin, Syaza
Rajanthran, Saravana Kumar
Azizan, Nornazirah
Hayati, Firdaus
Ginawoi, Joriana
Suhaimi, Khairunnisa Aini
Voo, Wan Yee Lilian
Kiram, Mohd Fazri
Md Jaki, Muhammad Izzuddin
Abd Aziz, Siti Haja
Nacathiran, Subashini Thevi Nach
description Abstract Leiomyoma is a smooth muscle tumour that can arise in any part of the body especially the uterus. Even though it is traditionally linked with hormonal influence, it can also develop in extrauterine organs with a slight female predominance. It is indistinguishable with gastrointestinal stromal tumour (GIST) histologically. We report a case of a 30-year-old gentleman who presented with a huge painful mass in the right iliac fossa. Computed tomography revealed a 10 × 10 cm homogeneous mass arising from the terminal ileum; he subsequently underwent an open right hemicolectomy. Histology showed a well-circumscribed lesion composed of interlacing bundles of smooth muscle fibres of the submucosa with positive smooth muscle actin and H-Caldesmon stains but negative for DOG-1 and CD117 (c-kit) stains which were consistent with leiomyoma. Despite its rarity, this hormone-related tumour needs to be considered regardless of gender. Immunohistochemistry is paramount as it is histologically identical to GIST.
doi_str_mv 10.1093/omcr/omaa086
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subjects Case Report
Case studies
Diagnosis
Leiomyoma
title An oncological curiosity of a male patient with a huge leiomyoma of the terminal ileum
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