Rice J P, MacGillivray D C, Sharpe R W, Weiser E B, Ghosh B C
Department of General Surgery, National Naval Medical Center, Bethesda, Maryland.
Gynecol Oncol. 1990 Apr;37(1):132-7. doi: 10.1016/0090-8258(90)90322-c.
Perineal leiomyosarcomas are rare aggressive tumors for which the therapy remains to be defined. These tumors may be extensively infiltrating and therapy may require radical surgery. The problems encountered in treating these tumors are similar to those for retroperitoneal sarcomas. Namely, delay in diagnosis, lack of distinct anatomic boundaries, and close proximity to and encroachment on multiple organs prevents resection with adequate surgical margins. We discuss the current literature and present our management of perineal leiomyosarcomas.
会阴部平滑肌肉瘤是罕见的侵袭性肿瘤,其治疗方法仍有待确定。这些肿瘤可能会广泛浸润,治疗可能需要根治性手术。治疗这些肿瘤时遇到的问题与腹膜后肉瘤相似。也就是说,诊断延迟、缺乏明显的解剖边界以及与多个器官紧邻并侵犯这些器官,使得无法获得足够的手术切缘进行切除。我们讨论了当前的文献,并介绍了我们对会阴部平滑肌肉瘤的治疗方法。