Hutchinson R, Gardner R D
Royal Shrewsbury Hospital, Shropshire, UK.
Postgrad Med J. 1991 Aug;67(790):773-5. doi: 10.1136/pgmj.67.790.773.
A 78 year old woman with a rectal leiomyosarcoma is presented. The case is of interest because of very unusual radiological and operative features of a large rectal diverticulum. As a result of the difficulty in making the correct diagnosis pre- or intraoperatively, a simple, but possibly suboptimal, resection was performed. Although the patient has done well, the long-term outlook is uncertain. The problems of optimum management and prediction of outcome in this uncommon condition are discussed.
本文报告了一位78岁患有直肠平滑肌肉瘤的女性患者。该病例因其具有一个非常罕见的巨大直肠憩室的放射学和手术特征而备受关注。由于术前或术中难以做出正确诊断,因此进行了一次简单但可能并非最佳的切除术。尽管患者目前情况良好,但长期预后仍不确定。本文还讨论了在这种罕见病症中最佳治疗管理和预后预测的问题。