[一例直肠平滑肌肉瘤的病例报告]

[A case report of leiomyosarcoma of the rectum].

作者信息

Kaneko T, Akita M, Kawabe H, Kitagawa Y, Ohata A, Yoshida H, Nagoh N, Yamashita M

机构信息

Dept. of Surgery, Nagoya Second Red Cross Hospital.

出版信息

Gan No Rinsho. 1989 Jul;35(8):971-6.

PMID:2746869

Abstract

A case of leiomyosarcoma of the rectum and a review of the relevant Japanese literature is reported. A 33-year-old man, suspected of having a rectal tumor was admitted to out hospital for though examination. The tumor was located at the anterior wall of the rectum behind the prostatic gland. A preoperative perineal biopsy was done and the pathological diameters was a leiomyosarcoma. The abdominoperineal resection was performed but the nerve was able to be preserved. The postoperative quality of life has been good. The difficulties in arriving at a histological differentiation of a simple tumors of the rectum from a malignant smooth muscle tumor of the rectum is discussed.

摘要

报告了一例直肠平滑肌肉瘤病例并对相关日本文献进行了综述。一名33岁男性，因怀疑患有直肠肿瘤而入院接受全面检查。肿瘤位于前列腺后方直肠前壁。术前进行了会阴活检，病理诊断为平滑肌肉瘤。实施了腹会阴联合切除术，但神经得以保留。术后生活质量良好。文中讨论了区分直肠单纯肿瘤与直肠恶性平滑肌肿瘤在组织学鉴别上的困难。