[Rectal leiomyosarcoma. 4 new cases].
We report four cases of leiomyosarcoma of the rectum suspected by endoscopic ultrasonography. Three patients were treated by local excision and one by abdominoperineal resection. An excision of the mass via a Kraske's approach was used. Leiomyosarcoma confined to the rectum wall can be treated by local excision. Endosonography can provide exact estimation of the lesion and is of great value in selecting the appropriate treatment. The treatment is surgical excision with wide margins. The histological stage and the presence or absence of metastases determine the therapeutic. Two patients in our series underwent radiation therapy. Chemotherapeutic agents including doxorubicin have had beneficial effect on recurrence or survival, only for higher grade sarcomas.
Service de Chirurgie Générale et Digestive, CHU Robert Debré, Reims.
J P
JP
Cailliez-Tomasi
O
O
Bouché
C
C
Avisse
F
F
Ramaholimihaso
M D
MD
Diébold
J B
JB
Flament
D000368:Aged; D000369:Aged, 80 and over; D000970:Antineoplastic Agents / Q000627:therapeutic use; D019160:Endosonography; D005260:Female; D006801:Humans; D007890:Leiomyosarcoma / Q000000981:diagnostic imaging* / Q000601:surgery / Q000628:therapy; D008297:Male; D011878:Radiotherapy; D012004:Rectal Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery / Q000628:therapy
D000970:Antineoplastic Agents
Léiomyosarcome du rectum. Quatre nouvelles observations.