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直肠平滑肌肉瘤所致直肠憩室

Diverticulum of the rectum due to a rectal leiomyosarcoma.

作者信息

Hutchinson R, Gardner R D

机构信息

Royal Shrewsbury Hospital, Shropshire, UK.

出版信息

Postgrad Med J. 1991 Aug;67(790):773-5. doi: 10.1136/pgmj.67.790.773.

DOI:10.1136/pgmj.67.790.773
PMID:1754532
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2399056/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea14/2399056/68dfd8e27661/postmedj00080-0071-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea14/2399056/68dfd8e27661/postmedj00080-0071-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea14/2399056/68dfd8e27661/postmedj00080-0071-a.jpg

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本文引用的文献

1
Leiomyosarcoma of the colon in an infant. A case report and review of the literature.婴儿结肠平滑肌肉瘤。病例报告及文献复习。
Cancer. 1983 Oct 15;52(8):1458-61. doi: 10.1002/1097-0142(19831015)52:8<1458::aid-cncr2820520820>3.0.co;2-k.
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Smooth muscle tumors of the gastrointestinal tract. A study of 56 cases followed for a minimum of 10 years.胃肠道平滑肌肿瘤。对56例患者进行至少10年的随访研究。
Cancer. 1985 Nov 1;56(9):2242-50. doi: 10.1002/1097-0142(19851101)56:9<2242::aid-cncr2820560918>3.0.co;2-5.
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CT evaluation of gastrointestinal leiomyomas and leiomyosarcomas.
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Gastrointestinal sarcomas. Analysis of prognostic factors.胃肠道肉瘤。预后因素分析。
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5
Smooth muscle tumours of the digestive tract: report of 160 cases.消化道平滑肌肿瘤:160例报告
Br J Surg. 1988 Feb;75(2):184-6. doi: 10.1002/bjs.1800750233.
6
Smooth muscle tumours of the alimentary tract.消化道平滑肌肿瘤
Ann R Coll Surg Engl. 1990 Sep;72(5):316-20.
7
Smooth muscle tumors of the gastrointestinal tract and retroperitoneum: a pathologic analysis of 100 cases.胃肠道和腹膜后平滑肌肿瘤:100例病理分析
Cancer. 1977 Jan;39(1):255-62. doi: 10.1002/1097-0142(197701)39:1<255::aid-cncr2820390139>3.0.co;2-h.
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Leiomyosarcoma of the small and large bowel.小肠和大肠平滑肌肉瘤
Cancer. 1978 Sep;42(3):1375-84. doi: 10.1002/1097-0142(197809)42:3<1375::aid-cncr2820420348>3.0.co;2-4.