Nagarsheth Nimesh P, Nicastri Daniel G, Kashani Massoud, Fried Kenneth
Division of Gynecologic Oncology, Department of Obstetrics, Gynecology and Reproductive Science, Mount Sinai School of Medicine, 1176 Fifth Avenue, New York, NY 10029, USA.
J Surg Educ. 2007 May-Jun;64(3):162-4. doi: 10.1016/j.jsurg.2006.11.007.
Leiomyosarcoma of the large bowel mesentery is a rare entity and characteristically behaves in an aggressive fashion. Surgical resection is the mainstay of treatment and offers both symptomatic and therapeutic benefit.
We describe the case of a 55-year-old woman who presented with weight loss, increasing abdominal girth and a large solid inhomogenous mass within the abdomen and pelvis demonstrated on a computed tomography (CT) scan. The patient underwent an exploratory laparotomy and extensive tumor debulking procedure with complete resection of her tumor. Final pathology revealed leiomyosarcoma of the large bowel mesentery. The patient has chosen not to receive adjuvant therapy.
Leiomyosarcoma of the large bowel mesentery often presents as an advanced lesion making surgical resection a challenging and potentially morbid procedure. Although surgical resection may be faced with significant morbidity, maximum surgical effort with complete resection offers the best overall outcome for patients with this disease.
大肠系膜平滑肌肉瘤是一种罕见的疾病，其特征是具有侵袭性。手术切除是主要的治疗方法，具有缓解症状和治疗的双重益处。
我们描述了一名55岁女性的病例，她出现体重减轻、腹围增加，计算机断层扫描（CT）显示腹部和盆腔内有一个大的实性不均匀肿块。患者接受了剖腹探查术和广泛的肿瘤减瘤手术，肿瘤被完全切除。最终病理显示为大肠系膜平滑肌肉瘤。患者选择不接受辅助治疗。
大肠系膜平滑肌肉瘤常表现为晚期病变，使手术切除成为一项具有挑战性且可能导致并发症的手术。尽管手术切除可能会面临严重的并发症，但尽最大努力进行完全切除可为该疾病患者提供最佳的总体治疗效果。
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