Giordano P, Cozzolino M, Vigorito R, Caliendo R A
Divisione di Chirurgia Generale, USL 38 - Ospedale S. Paolo, Napoli.
Minerva Chir. 1995 Jun;50(6):595-7.
Although smooth muscle tumors are the most common mesentery neoplasms, they are lesions of infrequent occurrence. The main clinical features of these malignancies are an insidious onset and an aspecific symptomatology, usually presenting themselves as quite large masses. The preoperative diagnosis is difficult, but selective angiography and CT scan may be of great value for this purpose. Since these malignancies are usually not responsive either to radiotherapy or chemotherapy, once diagnosed, the only hope of cure lies in surgical resection. The authors report case of leiomyosarcoma of the mesentery root, treated with radical surgery and still alive and disease free 12 months after resection.
尽管平滑肌瘤是最常见的肠系膜肿瘤，但它们是较少见的病变。这些恶性肿瘤的主要临床特征是起病隐匿和症状不具特异性，通常表现为相当大的肿块。术前诊断困难，但选择性血管造影和CT扫描对此目的可能具有很大价值。由于这些恶性肿瘤通常对放疗或化疗均无反应，一旦确诊，治愈的唯一希望在于手术切除。作者报告了1例肠系膜根部平滑肌肉瘤，接受了根治性手术，术后12个月仍存活且无疾病。
