Gastric leiomyosarcoma: Prognostic factors and surgical management

C. S. Grant, C. H. Kim, Gianrico Farrugia, A. Zinsmeister, J. R. Goellner

Research output: Contribution to journalArticle

75 Citations (Scopus)

Abstract

Information on gastric leiomyosarcoma, such as important prognostic factors, patterns of disease recurrence, and optimal methods of treatment, are derived from limited patient experience. We address these questions, with specific focus on whether an advantage could be demonstrated for radical resection compared with wide local excision, by retrospectively investigating 53 patients who underwent surgical treatment at Mayo Clinic, Rochester, Minn. Abdominal pain and/or gastrointestinal bleeding associated with an intramural or exogastric mass were typical features of this disease. Only tumor size and histologic grade were statistically significant prognostic factors. With analysis of survival curves and patterns of recurrence, neither the addition of lymphadenectomy nor the wider tumor-free margins of a radical gastrectomy seemed superior to the more conservative local excision. Therefore, wide local excision remains the preferred treatment when technically feasible.

Original languageEnglish (US)
Pages (from-to)985-990
Number of pages6
JournalArchives of Surgery
Volume126
Issue number8
StatePublished - 1991

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Leiomyosarcoma
Stomach
Recurrence
Gastrectomy
Survival Analysis
Lymph Node Excision
Abdominal Pain
Therapeutics
Hemorrhage
Neoplasms

ASJC Scopus subject areas

  • Surgery

Cite this

Grant, C. S., Kim, C. H., Farrugia, G., Zinsmeister, A., & Goellner, J. R. (1991). Gastric leiomyosarcoma: Prognostic factors and surgical management. Archives of Surgery, 126(8), 985-990.

Gastric leiomyosarcoma : Prognostic factors and surgical management. / Grant, C. S.; Kim, C. H.; Farrugia, Gianrico; Zinsmeister, A.; Goellner, J. R.

In: Archives of Surgery, Vol. 126, No. 8, 1991, p. 985-990.

Research output: Contribution to journalArticle

Grant, CS, Kim, CH, Farrugia, G, Zinsmeister, A & Goellner, JR 1991, 'Gastric leiomyosarcoma: Prognostic factors and surgical management', Archives of Surgery, vol. 126, no. 8, pp. 985-990.
Grant CS, Kim CH, Farrugia G, Zinsmeister A, Goellner JR. Gastric leiomyosarcoma: Prognostic factors and surgical management. Archives of Surgery. 1991;126(8):985-990.
Grant, C. S. ; Kim, C. H. ; Farrugia, Gianrico ; Zinsmeister, A. ; Goellner, J. R. / Gastric leiomyosarcoma : Prognostic factors and surgical management. In: Archives of Surgery. 1991 ; Vol. 126, No. 8. pp. 985-990.
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