Abstract OF ALL the duodenal tumors, the leiomyosarcomata are the rarest. After a thorough search of the literature, only 27 such tumors have been recorded, making the present case summary the 28th leiomyosarcoma of the duodenum to be published. However, it is not only the rarity of the disease that prompts the report of this additional case, but also the confused picture exhibited by the roentgenograms and the clinical symptoms. Von Salis,1 in 1920, was the first to report a case of leiomyosarcoma of the duodenum. All cases published since that time have been carefully reviewed and are cited in this paper, thus bringing the surgical literature up-to-date for this disease. Pathologists differ as to the origin of these tumors. Some believe that leiomyosarcomata are a transformation from the benign leiomyomata, while others maintain that they are malignant from the outset (Ewing). The tumor originates in the muscular layer of References 1. von Salis, H. W.: Über das Sarkom des Duodenum insbesondere das Myosarkom , Deutsche Ztschr. Chir. 160:180-204 ( (Dec.) ) 1920.Crossref 2. Brdiczka, I. G.: Die Tumoren der Bulbus duodeni und ihre röntgenologische Diagnose , Röntgenpraxis 3:625-629 ( (July 15) ) 1931. 3. Andersen, D. H., and Doob, E. F.: Leiomyosarcoma of the Duodenum , Arch. Path. 16:795-802 ( (Dec.) ) 1933. 4. Silverstone, M.: Sarcoma of the Duodenum: Report of a Case , Brit. J. Surg. 22:332-336 ( (Oct.) ) 1934.Crossref 5. Stommel, H. G.: Ein Fall von Leiomyosarcoma duodeni mit Lebermetastasen, Thesis, Bonn, Bonn University, 1935. 6. Seymour, W. J., and Gould, S. E.: Leiomyosarcoma of the Duodenum: Report of a Case , Am. J. Cancer 28:572-578 ( (Nov.) ) 1936.Crossref 7. Nickerson, D. A., and Williams, R. H.: Malignant Tumors of the Small Intestine , Am. J. Path. 13:53-64 ( (Jan.) ) 1937. 8. Mendillo, A., and Koufman, W. B.: Diverticulum and Sarcoma of the Duodenum: Report of a Case , New England J. Med. 219:432-433 ( (Sept. 22) ) 1938.Crossref 9. Foshee, J. C., and McBride, W. P. L.: Leiomyosarcoma of the Duodenum: Report of a Case and Review of the Literature , J. A. M. A. 112:2497-2500 ( (June 17) ) 1939.Crossref 10. Harrington, S. W., and Ganshorn, J. A.: Leiomyosarcoma of the Third Portion of the Duodenum: Report of a Case , Proc. Staff Meet., Mayo Clin. 15:74-76 ( (Jan. 31) ) 1940. 11. Mayo, C. W.: Malignancy of the Small Intestine , West. J. Surg. 48:403-407 ( (July) ) 1940. 12. Itikawa, H.: 3 Fälle von Leimyom des Verdauungstraktus: Leiomyasarcoma duodeni , Arch. jap. Chir. 17:1270-1271 ( (Sept. 1) ) 1940. 13. Henning, B. H., and Garland, L. H.: Leiomyosarcoma of the Duodenum , Radiology 37:353-357 ( (Sept.) ) 1941.Crossref 14. Shackelford, R. T.; Fisher, A. M., and Firor, W. B.: Duodenal Tumor of Unusual Character , Ann. Surg. 116:864-873 ( (Dec.) ) 1942.Crossref 15. McCullough, K.: Leiomysarcoma of the Duodenum , New York J. Med. 44:1248-1249 ( (June 1) ) 1944. 16. Williams, M. H. L.: A Case of Perforating Leiomyosarcoma of the Duodenum Associated with Parturition , M. J. Australia 31:585-586 ( (June 24) ) 1944. 17. Brunschwig, A., and Tiholiz, I. C.: Surgical Treatment of Malignant Tumors of the Duodenum Exclusive of Those Arising from Papilla of Vater , S. Clin. North America 26:163-175 ( (Feb.) ) 1946. 18. Brunschwig, A.: Personal communication to the authors. 19. Nitshe, G. A., Jr., and Suckle, H. M.: Leiomyosarcoma of the Ampulla of Vater Associated with a Tumor of the Eighth Nerve and Neurogenic Perforation of the Duodenum: Report of a Case and Review of the Literature , Am. J. Clin. Path. 17:827-833 ( (Oct.) ) 1947. 20. McLean, R. B.: Malignancies of the Duodenum , South. Surgeon 14:430-455 ( (July) ) 1948. 21. Heymann, J. A., and Clark, G. G.: Leiomyosarcoma of the Duodenum , Am. J. Surg. 80:119-123 ( (July) ) 1950.Crossref 22. Schwartz, N. H.; Swingle, R. C., and Raymond, E. A.: Malignant Tumors of the Duodenum: Report of 2 Cases , A. M. A. Arch. Int. Med. 87:410-417 ( (March) ) 1951.Crossref 23. Swartz, W. T., and Eckman, W. G., Jr.: A Case Report of Leiomyosarcoma of the Duodenum , Surgery 29:581-586 ( (April) ) 1951. 24. Ripstein, C. B., and Flint, G. W.: Leiomyosarcoma of the Gastrointestinal Tract , Gastroenterology 20:315-326 ( (Feb.) ) 1952. 25. Ayers, W. B., and Cunningham, G. A.: Leiomyosarcoma of the Duodenum with Gastrointestinal Hemorrhage , Surgery 31:922-927 ( (June) ) 1952.
A.M.A. Archives Surgery – American Medical Association
Published: Mar 1, 1953