Skip to main content
Log in

Leiomyosarcoma of the rectum

Report of a case and review of the literature

  • Current Status
  • Published:
Diseases of the Colon & Rectum

Abstract

A case of leiomyosarcoma of the rectum is presented and followed by a review of 135 cases from the literature. The five- and ten-year survival figures were the same whether the patient was treated by radical or local excision; however, local excision was followed by 67.5 percent recurrence. Abdominoperineal resection is still the procedure of choice. Local excision might be considered for small tumors of low-grade malignancy in a poor-risk patient.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Vander Espt Quoted by Anderson PA, Dockerty MB, Buie LA. In: Anderson PA, Dockerty MB, Buie LA. Myomatous tumors of the rectum (leiomyomas and sarcoma). Surgery 1950;28:642–50.

  2. Exner A. Ueber nichtmelanotische Sarkome des Mastdarmes. Med Klin Berlin 1908;4:858.

    Google Scholar 

  3. Dukes CE, Bussey HJ. Sarcoma and melanoma of the rectum. Br J Cancer 1947;1:30–7.

    CAS  PubMed  Google Scholar 

  4. Diamante M, Bacon HE. Leiomyosarcoma of the rectum: report of a case. Dis Colon Rectum 1967;10:347–51.

    PubMed  CAS  Google Scholar 

  5. Somervell JL, Mayer PF. Leiomyosarcoma of the rectum. Br J Surg 1971;58:144–6.

    PubMed  CAS  Google Scholar 

  6. Hishida Y, Ishida M. Smooth-muscle tumors of the rectum in Japanese. Dis Colon Rectum 1974;17:226–34.

    PubMed  CAS  Google Scholar 

  7. Thorlakson RH, Ross HM. Leiomyosarcoma of the rectum. Ann Surg 1961;154:979–84.

    Article  PubMed  CAS  Google Scholar 

  8. Smith G. Leiomyosarcoma of the rectum. Br J Surg 1963;50:633–5.

    PubMed  CAS  Google Scholar 

  9. Walsh TH, Mann CV. Smooth muscle neoplasms of the rectum and anal canal. Br J Surg 1984;71:597–9.

    PubMed  CAS  Google Scholar 

  10. Nemer FD, Stoeckinger JM, Evans OT. Smooth-muscle rectal tumors: a therapeutic dilemma. Dis Colon Rectum 1977;20:405–13.

    PubMed  CAS  Google Scholar 

  11. Evans N. Malignant myomata and related tumors of the uterus: report of 72 cases occurring in a series of 4,000 operations for uterine fibromyomata. Surg Gynecol Obstet 1920;30:225–39.

    Google Scholar 

  12. Broders AC Sr, Phillips C, Stinson JC. Neoplasms of the large bowel. Surg Clin North Am 1952;32:1511–29.

    Google Scholar 

  13. Neuman Z. Leiomyosarcoma of the rectum developing from benign leiomyoma. Ann Surg 1952;135:426–30.

    PubMed  CAS  Google Scholar 

  14. Stavorovsky M, Jaffa AJ, Papo J, Baratz M. Leiomyosarcoma of the colon and rectum. Dis Colon Rectum 1980;23:249–54.

    PubMed  CAS  Google Scholar 

  15. Mindich B, Tykot H, Littman L, Levowitz BS. Leiomyosarcoma of the rectum: report of a case. Dis Colon Rectum 1975;18:233–6.

    PubMed  CAS  Google Scholar 

  16. McEachern CG, Arata JE. Leiomyosarcoma of the rectum. Arch Surg 1953;66:388–91.

    CAS  Google Scholar 

  17. Bores RR, Thorlakson RH. Leiomyosarcoma of the rectum. Int Surg 1974;59:616–20.

    PubMed  CAS  Google Scholar 

  18. Quan SH, Berg JW. Leiomyoma and leiomyosarcoma of the rectum. Dis Colon Rectum 1962;5:415–25.

    PubMed  CAS  Google Scholar 

  19. Anderson PA, Dockerty MB, Buie LA. Myomatous tumors of the rectum (leiomyomas and myosarcomas). Surgery 1950;28:642–50.

    PubMed  CAS  Google Scholar 

  20. Golden T, Stout AP. Smooth muscle tumors of the gastrointestinal tract and retroperitoneal tissues. Surg Gynecol Obstet 1941;73:784–810.

    Google Scholar 

  21. Blatt JM, Kopolovic J, Gimmon Z, Rabinovici N. Leiomyosarcoma of the rectum: diagnostic criteria and surgical approach. Int Surg 1979;64:67–71.

    PubMed  CAS  Google Scholar 

  22. Sanger BJ, Leckie BD. Plain muscle tumours of the rectum. Br J Surg 1959;47:196–8.

    PubMed  CAS  Google Scholar 

  23. Sanders RJ. Leiomyosarcoma of the rectum: report of six cases. Ann Surg 1961;154(suppl):150–4.

    Article  PubMed  Google Scholar 

  24. Gottlieb JA, Baker LA, Burgess MA et al. Sarcoma chemotherapy, cancer chemotherapy: fundamental concepts and recent advances. In: A collection of papers presented at the Nineteenth Clinical Conference on Cancer at the University of Texas System Cancer Center, M. D. Anderson Hospital and Tumor Institute, Houston, Texas. Chicago: Yearbook Medical Publishers, 1975:445–54.

    Google Scholar 

  25. Stair JM, Stevenson DR, Schaefer RF, Lang NP. Leiomyosarcoma of the rectum: report of three cases. J Surg Oncol 1983;24:180–3.

    PubMed  CAS  Google Scholar 

  26. Adelson L, Newcomb D. Leiomyosarcoma of the rectum: report of a case. Conn Med 1948;12:846–9.

    CAS  Google Scholar 

  27. Alfonso AE, Hertz RE. Synchronous leiomyosarcoma and adenocarcinoma of the rectum: report of a case and review of the literature. Dis Colon Rectum 1975;18:228–32.

    PubMed  CAS  Google Scholar 

  28. Asuncion CM. Leiomyosarcoma of the rectum: report of two cases. Dis Colon Rectum 1969;12:281–7.

    PubMed  CAS  Google Scholar 

  29. Bhargava KS, Lahiri B, Gupta RC, Prakash V. Leiomyosarcoma of the rectum. J Indian Med Assoc 1964;42:228–30.

    PubMed  CAS  Google Scholar 

  30. Buckle AE, Evans IL. Leiomyosarcoma of the rectum: report of a case. Dis Colon Rectum 1974;17:109–11.

    PubMed  CAS  Google Scholar 

  31. Campanale RP, Cavanagh MJ. Leiomyosarcoma of the rectum. Am J Surg 1955;89:707–9.

    Article  PubMed  CAS  Google Scholar 

  32. Deyden WE, Wilkinson CA. Leiomyosarcoma of the rectum. South Med J 1978;71:743–5.

    PubMed  CAS  Google Scholar 

  33. Eitan N, Auslander L, Cohen Y. Leiomyosarcoma of the rectum: report of three cases. Dis Colon Rectum 1978;21:444–6.

    PubMed  CAS  Google Scholar 

  34. Feldtman RW, Smith JC, Teears RJ, Kircher T. Leiomyosarcoma of the rectum: the military experience. Dis Colon Rectum 1981;24:402–3.

    PubMed  CAS  Google Scholar 

  35. Gillon RH. Leiomyosarcoma of the rectum: report of a case. J Am Osteopath Assoc 1984;83:721–3.

    PubMed  CAS  Google Scholar 

  36. Jay JB. Leiomyosarcoma of the rectum: review of the literature and report of a case. Dis Colon Rectum 1958;1:191–6.

    PubMed  CAS  Google Scholar 

  37. Labow SB, Hoexter B. Leiomyosarcoma of the rectum: radical vs. conservative therapy and report of three cases. Dis Colon Rectum 1977;20:603–5.

    PubMed  CAS  Google Scholar 

  38. Mannell A. Leiomyosarcoma of the rectum: a case report. S Afr Med J 1980;58:334–5.

    PubMed  CAS  Google Scholar 

  39. Lane D. Leiomyosarcoma of the rectum. Med J Aust 1969;1:163–4.

    PubMed  CAS  Google Scholar 

  40. McKenzie AD, Elliott GB, Bell GA. Leiomyosarcoma of the rectum: a report of a case. Can J Surg 1972;15:202–4.

    PubMed  CAS  Google Scholar 

  41. Morson BC. Rare malignant tumors of the rectum and anal region. In: Dukes CE, ed. Cancer of the rectum. Edinburgh: E & S Livingstone, 1960:92–6.

    Google Scholar 

  42. Oppenheim A, O'Brien JP. Unusual anal, rectal and perirectal tumors palpable by rectal examination. Am J Surg 1950;79:302–11.

    Article  PubMed  CAS  Google Scholar 

  43. Osmond JD Jr, Mautz FR. Leiomyosarcoma of the rectum: review of the literature and report of a case. AJR 1955;74:867–71.

    Google Scholar 

  44. Rankin FW, Larson LM. Myosarcoma of the rectum. Minn Med 1932;15:833–5.

    Google Scholar 

  45. ReBell FG, Hiatt N. Leiomyosarcoma of the rectovaginal septum. Am J Surg 1954;88:746–8.

    Article  PubMed  CAS  Google Scholar 

  46. Soler-Roig J, Moragas AR, Creus AS. Leiomiosarcoma del recto. J Int Coll Surg 1954;21:763–7.

    PubMed  CAS  Google Scholar 

  47. Weeks JH. Sarcoma of the rectum: report of a case with review of the literature. Surg Gynecol Obstet 1927;44:478–82.

    Google Scholar 

  48. Williams AO. Malignant leiomyosarcoma of the rectum: report of a case. Dis Colon Rectum 1965;8:418–20.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

About this article

Cite this article

Khalifa, A.A., Bong, W.L., Rao, V.K. et al. Leiomyosarcoma of the rectum. Dis Colon Rectum 29, 427–432 (1986). https://doi.org/10.1007/BF02555068

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02555068

Key words

Navigation