Endoscopy 2021; 53(S 01): S142
DOI: 10.1055/s-0041-1724633
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Uterine-Leiomyosarcoma With Small-Bowel Metastases: A Diagnosis Facilitated By Double-Balloon Enteroscopy (DBE)

N Lazaridis
1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, United Kingdom
,
A Murino
1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, United Kingdom
,
A Skamnelos
1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, United Kingdom
,
R Chacchi Cahuin
1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, United Kingdom
,
N Koukias
1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, United Kingdom
,
R Raymond
1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, United Kingdom
,
T Luong
2   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Academic Department of Cellular Pathology, London, United Kingdom
,
EJ Despott
1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, United Kingdom
› Author Affiliations
 

A 56-year-old woman with a history of hysterectomy for uterine leiomyosarcoma (ULMS) was referred due to a suspicious jejunal lesion identified at abdominal computed tomography.

Anterograde double-balloon enteroscopy (DBE) revealed an ulcerated lesion. This was biopsied and marked with tattoos placed 3cm proximally and distally to guide minimally invasive laparoscopic resection. Histopathology confirmed the presence of a malignant spindle-cell tumour, in keeping with metastatic leiomyosarcoma.

ULMS is a rare entity among malignant gynecologic tumors and carries a poor prognosis. To the best of our knowledge, this is the first case of ULMS with metastasis to the small-bowel diagnosed by DBE.

Citation Lazaridis N, Murino A, Skamnelos A et al. eP136V UTERINE-LEIOMYOSARCOMA WITH SMALL-BOWEL METASTASES: A DIAGNOSIS FACILITATED BY DOUBLE-BALLOON ENTEROSCOPY (DBE). Endoscopy 2021; 53: S142.



Publication History

Article published online:
19 March 2021

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