[A case of long-term survival with recurrence leiomyosarcoma of the rectum treated by repeated local resections].
A 47-year-old man was admitted to our hospital for anal pain and diagnosed with submucosal tumor by digital examination. Transsacral resection was performed because the patient refused a stoma. Leiomyoma with highly malignant potential was histologically diagnosed. Surveillance was performed by computed tomography, magnetic resonance imaging and digital examination, but a correct diagnosis was difficult. Due to local tumor increases in the resected region, trans-anal resection was performed 2 years later at the time of local recurrence diagnosis. Over the last 10 years, a total of 8 local resections have been performed since the first surgery. No distant metastases have been confirmed to the patient without a stoma. It appears that a local resection of leimyosarcoma of the rectum with a close surveillance was effective.
Ikenaga
Masakazu
M
Dept. of Surgery, National Hospital Organization, Osaka National Hospital.
Mishima
Hideyuki
H
Kashiwazaki
Masaki
M
Masuda
Norikazu
N
Hirao
Motohiro
M
Takeda
Yutaka
Y
Fujitani
Kazumasa
K
Sawamura
Toshiro
T
Tsujinaka
Toshimasa
T
D046152:Gastrointestinal Stromal Tumors / Q000175:diagnosis / Q000401:mortality / Q000601:surgery; D006801:Humans; D007890:Leiomyosarcoma / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012004:Rectal Neoplasms / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D012086:Reoperation