title: [A case of long-term survival with recurrence leiomyosarcoma of the rectum treated by repeated local resections].
abstract: 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.
authors.affiliation: Dept. of Surgery, National Hospital Organization, Osaka National Hospital.
authors.forename: Masakazu
authors.initials: M
authors.lastname: Ikenaga
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Mishima
authors.forename: Masaki
authors.initials: M
authors.lastname: Kashiwazaki
authors.forename: Norikazu
authors.initials: N
authors.lastname: Masuda
authors.forename: Motohiro
authors.initials: M
authors.lastname: Hirao
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Takeda
authors.forename: Kazumasa
authors.initials: K
authors.lastname: Fujitani
authors.forename: Toshiro
authors.initials: T
authors.lastname: Sawamura
authors.forename: Toshimasa
authors.initials: T
authors.lastname: Tsujinaka
mesh_terms: 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