Ikenaga Masakazu, Mishima Hideyuki, Kashiwazaki Masaki, Masuda Norikazu, Hirao Motohiro, Takeda Yutaka, Fujitani Kazumasa, Sawamura Toshiro, Tsujinaka Toshimasa
Dept. of Surgery, National Hospital Organization, Osaka National Hospital.
Gan To Kagaku Ryoho. 2004 Oct;31(11):1897-9.
A 47-year-old man was admitted to our hospital for anal pain and diagnosed with submucosal tumor by digital examination. Transsacral resection was performed because the patient refused a stoma. Leiomyoma with highly malignant potential was histologically diagnosed. Surveillance was performed by computed tomography, magnetic resonance imaging and digital examination, but a correct diagnosis was difficult. Due to local tumor increases in the resected region, trans-anal resection was performed 2 years later at the time of local recurrence diagnosis. Over the last 10 years, a total of 8 local resections have been performed since the first surgery. No distant metastases have been confirmed to the patient without a stoma. It appears that a local resection of leimyosarcoma of the rectum with a close surveillance was effective.
