Vorobév G I, Odariuk T S, Shelygin Iu A, Kapuller L L, Korniak B S, Tikhonov A A, Orlova L P
Khirurgiia (Mosk). 1995 Jan(1):45-50.
Experience in the treatment of 118 patients with nonepithelial new growths of the rectum has been accumulated at the Scientific Research Institute of Proctology in the period from 1970 to 1991. They accounted for 1.5% of all benign and malignant tumors of this organ. Leiomyoma was diagnosed in 44, leiomyosarcoma in 18, lipoma in 30, fibroma in 17, neurinoma in 7 and rhabdomyoma in 2 of these patients. A differential diagnosis was made between benign and malignant tumors, as well as with other nonepithelial new growth of the rectum. On the basis of the clinical picture and the results of digital and instrumental (radiological, endoscopic, and ultrasonic) examination of the rectum the correct preoperative diagnosis may be established with certain probability. This influences directly the choice of the volume of the operative intervention in various types of nonepithelial rectal tumors. Morphological verification of the tumor is the principal method of examination in establishing the differential diagnosis in the preoperative and postoperative periods.
1970年至1991年期间，直肠病科学研究所积累了118例直肠非上皮性新生物患者的治疗经验。这些患者占该器官所有良性和恶性肿瘤的1.5%。其中44例诊断为平滑肌瘤，18例为平滑肌肉瘤，30例为脂肪瘤，17例为纤维瘤，7例为神经鞘瘤，2例为横纹肌瘤。对良性和恶性肿瘤以及直肠的其他非上皮性新生物进行了鉴别诊断。根据临床表现以及直肠指诊和器械检查（放射学、内镜和超声检查）结果，有可能确定正确的术前诊断。这直接影响到各种类型直肠非上皮性肿瘤手术干预范围的选择。肿瘤的形态学验证是术前和术后鉴别诊断的主要检查方法。
