regional lymph nodes , and is given over several weeks. Combination chemotherapy is being studied following surgery and merits further investigation.
Leiomyosarcomas
These tumors that start in the smooth muscles of the stomach wall account for only 1 to 3 percent of all gastric malignancies. Bleeding is common and five-year survival is about 45 percent.
Standard Treatment The primary treatment is partial removal of the stomach, taking out just the area of the tumor and a rim of normal surrounding tissue . Radiation therapy and chemotherapy may be used after surgery or for metastatic disease. The most common chemotherapy combinations now used are Adriamycin + dacarbazine (DTIC) or Adriamycin + cisplatin . Ifosfamide may also be effective.
