title: [Leiomyoma of the rectum].
abstract: Most of the 150 leiomyomas of the rectum reported since 1872 were no larger than 5 cm. The authors report 3 new observations of leiomyomas of the rectum measuring more than 5 cm. The diagnosis of leiomyoma is difficult. The physical examination and rectoscopy suggest a submucal tumour of the rectum and endoendoscopy helps, describe the relations with the urogenital tract and the sphincters. Due to the lack of distinctive pathology features of malignancy, a leiomyosarcoma cannot be totally eliminated. The prognosis is uncertain due to the rate of relapse and the short follow-up (less than one year) in the previously reported cases. A slow spontaneous clinical course is however possible. The treatment goal is complete surgical removal. While local exeresis is indicated in tumours less than 5 cm in size, echo-guided endorectal protectomy with or without amputation of the sphincter should be discussed for larger tumours.
authors: Clinique chirurgicale II, Hôpital G. & R. Laënnec, CHU Nantes.
authors: J
authors: J
authors: Le Borgne
authors: V
authors: V
authors: Guiberteau-Canfrere
authors: P A
authors: PA
authors: Lehur
authors: O
authors: O
authors: Bitar
authors: H
authors: H
authors: Serraz
authors: E
authors: E
authors: Thoulouzan
authors: M F
authors: MF
authors: Le Bodic
mesh_terms: D000368:Aged; D006801:Humans; D007889:Leiomyoma / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D012004:Rectal Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D013997:Time Factors
vernacular_title: Les léïomyomes du rectum.