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Year : 2001  |  Volume : 6  |  Issue : 2  |  Page : 127-128

Gastric leiomyosarcoma mimicking splenomegaly

1 His Stripes Specialist Hospital, Enugu, Nigeria
2 National Orthopaedic Hospital, Enugu, Nigeria

Correspondence Address:
Wilson I B Onuigbo
National Orthopaedic Hospital, Enugu
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Source of Support: None, Conflict of Interest: None

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Gastric leiomyosarcoma, a rare malignant tumour, is usually not diagnosed pre-operatively. Even at operation, the correct diagnosis is often missed. Thus, the intimidating presence of a left hypochondrial mass in a middle aged Yoruba soldier mimicked tropical splenomegaly syndrome. This was unmasked at laparotomy, which exposed a giant gastric growth that was subjected to wide surgical excision. Thereafter, histological examination revealed the presence of leiomyosarcoma. Therefore, the case is documented here on account of its rarity, the mimicry of splenomegaly and survival for over 2 years.

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