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The Surgical Management of Smooth-Muscle Tumors of the Gastrointestinal Tract

The Surgical Management of Smooth-Muscle Tumors of the Gastrointestinal Tract Abstract Smooth-muscle tumors of the gastrointestinal tract are being reported in the current journals with ever-increasing frequency. A review of the world's literature in 1941 contained 972 cases, benign and malignant,7 and many additional reports have been added since. With improvement in diagnostic techniques, it seems reasonable to assume that this rise will continue, and, concomitantly, there will be a larger number of patients with the lesion requiring surgical management. It is becoming necessary, therefore, that surgeons be familiar not only with the pathology and diagnosis of smoothmuscle tumors, but also with proper operative therapy. In all respects, the management of this lesion is a difficult one. It is unusual for the diagnosis to be made preoperatively, especially with gastric lesions, for there is no characteristic x-ray appearance,4 and the clinical impression is usually that of carcinoma. In the present series of 18 cases, the correct preoperative diagnosis was References 1. Ackerman, L., and del Regato, J.: Cancer , Ed. 2, St. Louis, The C. V. Mosby Company, 1954, pp. 527, 548, 565, 581. 2. Cole, J. W., and Barry, F. M.: Smooth Muscle Tumors of the Stomach , Am. J. Surg. 79: 524, 1950.Crossref 3. Cowdell, R. H.: Smooth-Muscle Tumours of the Gastrointestinal Tract , Brit. J. Surg. 38:3, 1950.Crossref 4. Davis, J. G., and Adams, D.: The Roentgen Findings in Gastric Leiomyomas and Leiomyosarcomas , Radiology 67:67, 1956.Crossref 5. Eker, R., and Efskind, J.: Sarcoma of the Stomach: I. Follow-Up Examination of 45 Cases , Acta chir. scandinav. 111:386, 1956. 6. France, C. J., and Brines, O.: Mesenchymal Tumors of the Stomach , Arch. Surg. 61:1019, 1950.Crossref 7. Golden, T., and Stout, A.: Smooth Muscle Tumors of the Gastro-Intestinal Tract , Surg. Gynec. & Obst. 73:784, 1941. 8. Goldman, A., and Masters, H.: Leiomyoma of the Esophagus , Arch. Surg. 60:559, 1950. 9. Horsley, G. W., and Means, R. L.: Leiomyosarcoma of the Jejunum, with 2 Case Reports and a Review of the Literature , Ann. Surg. 141:799, 1955. 10. Julich, A. W.: Cystic Leiomyosarcoma of the Stomach Simulating Splenomegaly , Gastroenterology 31:305, 1956. 11. Kelly, C.; Cain, J.; Ellis, F., and Soule, E.: Leiomyosarcoma of the Duodenum , Proc. Staff Meet. Mayo Clin. 32:712, 1957. 12. Marvin, C. P., and Walters, W.: Leiomyosarcoma of the Stomach , Arch. Surg. 57:62, 1948. 13. McFarland, J.: Malignant Myoma , Am. J. Cancer 25:530, 1935. 14. McVerry, E., and Levene, M.: Leiomyosarcoma of the Colon , Brit. J. Surg. 44:189, 1956. 15. Meissner, W. A.: Leiomyoma of the Stomach , Arch. Path. 38:207, 1944. 16. Morton, J. H.; Stabins, S. J., and Morton, J. J.: Smooth Muscle Tumors of the Alimentary Canal , Ann. Surg. 144:487, 1956. 17. Osmond, J. D., Jr., and Mautz, F. R.: Leiomyosarcoma of the Rectum: Review of the Literature and Report of a Case , Am. J. Roentgenol. 74:867, 1955. 18. Palmer, E. D.: The Sarcomas of the Stomach: A Review with Reference to Gross Pathology and Gastroscopic Manifestations , Am. J. Digest. Dis. 17:186, 1950. 19. Palmer, E.: Benign Intramural Tumors of the Stomach: A Review with Special Reference to Gross Pathology , Medicine 30:81, 1951. 20. Pennino, J., and Abbene, M.: Intussusception in an Infant Due to Leiomyosarcoma of the Jejunum , Am. J. Surg. 93:461, 1957. 21. Raszkowski, H., and Kent, K.: Leiomyosarcoma of the Jejunum , Surg. Gynec. & Obst. 104: 280, 1957. 22. Ripstein, C., and Flint, G.: Leiomyosarcoma of the Gastrointestinal Tract , Gastroenterology 20:315, 1952. 23. Starr, G. F., and Dockerty, M.: Leiomyomas and Leiomyosarcomas of the Small Intestine , Cancer 8:101, 1955.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

The Surgical Management of Smooth-Muscle Tumors of the Gastrointestinal Tract

Archives of Surgery , Volume 81 (6) – Dec 1, 1960

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Publisher
American Medical Association
Copyright
Copyright © 1960 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1960.01300060117024
Publisher site
See Article on Publisher Site

Abstract

Abstract Smooth-muscle tumors of the gastrointestinal tract are being reported in the current journals with ever-increasing frequency. A review of the world's literature in 1941 contained 972 cases, benign and malignant,7 and many additional reports have been added since. With improvement in diagnostic techniques, it seems reasonable to assume that this rise will continue, and, concomitantly, there will be a larger number of patients with the lesion requiring surgical management. It is becoming necessary, therefore, that surgeons be familiar not only with the pathology and diagnosis of smoothmuscle tumors, but also with proper operative therapy. In all respects, the management of this lesion is a difficult one. It is unusual for the diagnosis to be made preoperatively, especially with gastric lesions, for there is no characteristic x-ray appearance,4 and the clinical impression is usually that of carcinoma. In the present series of 18 cases, the correct preoperative diagnosis was References 1. Ackerman, L., and del Regato, J.: Cancer , Ed. 2, St. Louis, The C. V. Mosby Company, 1954, pp. 527, 548, 565, 581. 2. Cole, J. W., and Barry, F. M.: Smooth Muscle Tumors of the Stomach , Am. J. Surg. 79: 524, 1950.Crossref 3. Cowdell, R. H.: Smooth-Muscle Tumours of the Gastrointestinal Tract , Brit. J. Surg. 38:3, 1950.Crossref 4. Davis, J. G., and Adams, D.: The Roentgen Findings in Gastric Leiomyomas and Leiomyosarcomas , Radiology 67:67, 1956.Crossref 5. Eker, R., and Efskind, J.: Sarcoma of the Stomach: I. Follow-Up Examination of 45 Cases , Acta chir. scandinav. 111:386, 1956. 6. France, C. J., and Brines, O.: Mesenchymal Tumors of the Stomach , Arch. Surg. 61:1019, 1950.Crossref 7. Golden, T., and Stout, A.: Smooth Muscle Tumors of the Gastro-Intestinal Tract , Surg. Gynec. & Obst. 73:784, 1941. 8. Goldman, A., and Masters, H.: Leiomyoma of the Esophagus , Arch. Surg. 60:559, 1950. 9. Horsley, G. W., and Means, R. L.: Leiomyosarcoma of the Jejunum, with 2 Case Reports and a Review of the Literature , Ann. Surg. 141:799, 1955. 10. Julich, A. W.: Cystic Leiomyosarcoma of the Stomach Simulating Splenomegaly , Gastroenterology 31:305, 1956. 11. Kelly, C.; Cain, J.; Ellis, F., and Soule, E.: Leiomyosarcoma of the Duodenum , Proc. Staff Meet. Mayo Clin. 32:712, 1957. 12. Marvin, C. P., and Walters, W.: Leiomyosarcoma of the Stomach , Arch. Surg. 57:62, 1948. 13. McFarland, J.: Malignant Myoma , Am. J. Cancer 25:530, 1935. 14. McVerry, E., and Levene, M.: Leiomyosarcoma of the Colon , Brit. J. Surg. 44:189, 1956. 15. Meissner, W. A.: Leiomyoma of the Stomach , Arch. Path. 38:207, 1944. 16. Morton, J. H.; Stabins, S. J., and Morton, J. J.: Smooth Muscle Tumors of the Alimentary Canal , Ann. Surg. 144:487, 1956. 17. Osmond, J. D., Jr., and Mautz, F. R.: Leiomyosarcoma of the Rectum: Review of the Literature and Report of a Case , Am. J. Roentgenol. 74:867, 1955. 18. Palmer, E. D.: The Sarcomas of the Stomach: A Review with Reference to Gross Pathology and Gastroscopic Manifestations , Am. J. Digest. Dis. 17:186, 1950. 19. Palmer, E.: Benign Intramural Tumors of the Stomach: A Review with Special Reference to Gross Pathology , Medicine 30:81, 1951. 20. Pennino, J., and Abbene, M.: Intussusception in an Infant Due to Leiomyosarcoma of the Jejunum , Am. J. Surg. 93:461, 1957. 21. Raszkowski, H., and Kent, K.: Leiomyosarcoma of the Jejunum , Surg. Gynec. & Obst. 104: 280, 1957. 22. Ripstein, C., and Flint, G.: Leiomyosarcoma of the Gastrointestinal Tract , Gastroenterology 20:315, 1952. 23. Starr, G. F., and Dockerty, M.: Leiomyomas and Leiomyosarcomas of the Small Intestine , Cancer 8:101, 1955.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Dec 1, 1960

References