Anorectal leiomyomas: report of two cases with different anatomical patterns and literature review
Autor(a) principal: | |
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Data de Publicação: | 2004 |
Outros Autores: | , , , , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Revista do Hospital das Clínicas |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0041-87812004000500013 |
Resumo: | Gastrointestinal mesenchymal tumors comprise a rare group of gastrointestinal tract wall tumors that have long been a source of confusion and controversy, especially in terms of pathological classification, preoperative diagnosis, management strategies, and prognosis. This report describes the clinical manifestations and management of 2 rectal leiomyomas and reviews the pertinent literature. Case 1: A 44-year-old woman was admitted reporting a nodule in the right para-anal region for the previous 2 years. At proctological examination, a 4-cm diameter fibrous mass situated in the para-anal region that produced an arch under the smooth muscle on the right rectal wall just above the anorectal ring was noted. Computed tomography and magnetic resonance imaging of the abdomen and pelvis showed the lesion and detected no other abnormalities. Surgical treatment consisted of wide local resection of the tumor through a para-anal incision, with no attempts to perform lymphadenectomy. Case 2: A 40-year-old male patient was admitted reporting constant anal pain for 4 months. He presented a 3-cm submucosal nodule at the anterior rectal wall just above the dentate line. After 2 inconclusive preoperative biopsies, transanal resection of the tumor was performed. Histological analysis of the specimen showed a benign leiomyoma. A review of the literature is presented, emphasizing some clinical and therapeutic aspects of this unusual rectal tumor. |
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Anorectal leiomyomas: report of two cases with different anatomical patterns and literature reviewGastrointestinal stromal tumorsLeiomyomaLeiomyosarcomaRectumLiteratureGastrointestinal mesenchymal tumors comprise a rare group of gastrointestinal tract wall tumors that have long been a source of confusion and controversy, especially in terms of pathological classification, preoperative diagnosis, management strategies, and prognosis. This report describes the clinical manifestations and management of 2 rectal leiomyomas and reviews the pertinent literature. Case 1: A 44-year-old woman was admitted reporting a nodule in the right para-anal region for the previous 2 years. At proctological examination, a 4-cm diameter fibrous mass situated in the para-anal region that produced an arch under the smooth muscle on the right rectal wall just above the anorectal ring was noted. Computed tomography and magnetic resonance imaging of the abdomen and pelvis showed the lesion and detected no other abnormalities. Surgical treatment consisted of wide local resection of the tumor through a para-anal incision, with no attempts to perform lymphadenectomy. Case 2: A 40-year-old male patient was admitted reporting constant anal pain for 4 months. He presented a 3-cm submucosal nodule at the anterior rectal wall just above the dentate line. After 2 inconclusive preoperative biopsies, transanal resection of the tumor was performed. Histological analysis of the specimen showed a benign leiomyoma. A review of the literature is presented, emphasizing some clinical and therapeutic aspects of this unusual rectal tumor.Faculdade de Medicina / Universidade de São Paulo - FM/USP2004-01-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0041-87812004000500013Revista do Hospital das Clínicas v.59 n.5 2004reponame:Revista do Hospital das Clínicasinstname:Universidade de São Paulo (USP)instacron:USP10.1590/S0041-87812004000500013info:eu-repo/semantics/openAccessCampos,Fábio GuilhermeLeite,Andrea FurlanAraújo,Sérgio Eduardo AlonsoAtuí,Fábio CésarSeid,VítorHabr-Gama,AngelitaKiss,Desidério RobertoGama-Rodrigues,Joaquimeng2004-10-29T00:00:00Zoai:scielo:S0041-87812004000500013Revistahttp://www.scielo.br/rhcPUBhttps://old.scielo.br/oai/scielo-oai.php||revista.hc@hcnet.usp.br1678-99030041-8781opendoar:2004-10-29T00:00Revista do Hospital das Clínicas - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Anorectal leiomyomas: report of two cases with different anatomical patterns and literature review |
title |
Anorectal leiomyomas: report of two cases with different anatomical patterns and literature review |
spellingShingle |
Anorectal leiomyomas: report of two cases with different anatomical patterns and literature review Campos,Fábio Guilherme Gastrointestinal stromal tumors Leiomyoma Leiomyosarcoma Rectum Literature |
title_short |
Anorectal leiomyomas: report of two cases with different anatomical patterns and literature review |
title_full |
Anorectal leiomyomas: report of two cases with different anatomical patterns and literature review |
title_fullStr |
Anorectal leiomyomas: report of two cases with different anatomical patterns and literature review |
title_full_unstemmed |
Anorectal leiomyomas: report of two cases with different anatomical patterns and literature review |
title_sort |
Anorectal leiomyomas: report of two cases with different anatomical patterns and literature review |
author |
Campos,Fábio Guilherme |
author_facet |
Campos,Fábio Guilherme Leite,Andrea Furlan Araújo,Sérgio Eduardo Alonso Atuí,Fábio César Seid,Vítor Habr-Gama,Angelita Kiss,Desidério Roberto Gama-Rodrigues,Joaquim |
author_role |
author |
author2 |
Leite,Andrea Furlan Araújo,Sérgio Eduardo Alonso Atuí,Fábio César Seid,Vítor Habr-Gama,Angelita Kiss,Desidério Roberto Gama-Rodrigues,Joaquim |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Campos,Fábio Guilherme Leite,Andrea Furlan Araújo,Sérgio Eduardo Alonso Atuí,Fábio César Seid,Vítor Habr-Gama,Angelita Kiss,Desidério Roberto Gama-Rodrigues,Joaquim |
dc.subject.por.fl_str_mv |
Gastrointestinal stromal tumors Leiomyoma Leiomyosarcoma Rectum Literature |
topic |
Gastrointestinal stromal tumors Leiomyoma Leiomyosarcoma Rectum Literature |
description |
Gastrointestinal mesenchymal tumors comprise a rare group of gastrointestinal tract wall tumors that have long been a source of confusion and controversy, especially in terms of pathological classification, preoperative diagnosis, management strategies, and prognosis. This report describes the clinical manifestations and management of 2 rectal leiomyomas and reviews the pertinent literature. Case 1: A 44-year-old woman was admitted reporting a nodule in the right para-anal region for the previous 2 years. At proctological examination, a 4-cm diameter fibrous mass situated in the para-anal region that produced an arch under the smooth muscle on the right rectal wall just above the anorectal ring was noted. Computed tomography and magnetic resonance imaging of the abdomen and pelvis showed the lesion and detected no other abnormalities. Surgical treatment consisted of wide local resection of the tumor through a para-anal incision, with no attempts to perform lymphadenectomy. Case 2: A 40-year-old male patient was admitted reporting constant anal pain for 4 months. He presented a 3-cm submucosal nodule at the anterior rectal wall just above the dentate line. After 2 inconclusive preoperative biopsies, transanal resection of the tumor was performed. Histological analysis of the specimen showed a benign leiomyoma. A review of the literature is presented, emphasizing some clinical and therapeutic aspects of this unusual rectal tumor. |
publishDate |
2004 |
dc.date.none.fl_str_mv |
2004-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0041-87812004000500013 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0041-87812004000500013 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0041-87812004000500013 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Faculdade de Medicina / Universidade de São Paulo - FM/USP |
publisher.none.fl_str_mv |
Faculdade de Medicina / Universidade de São Paulo - FM/USP |
dc.source.none.fl_str_mv |
Revista do Hospital das Clínicas v.59 n.5 2004 reponame:Revista do Hospital das Clínicas instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista do Hospital das Clínicas |
collection |
Revista do Hospital das Clínicas |
repository.name.fl_str_mv |
Revista do Hospital das Clínicas - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||revista.hc@hcnet.usp.br |
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1754820894841110528 |