Résumé
La radiothérapie (RT) pour cancer du testicule peut être associée, dans quelques rares cas, à l’apparition de néoplasies secondaires comprenant au premier rang les carcinomes, et de façon exceptionnelle, les sarcomes. Nous rapportons le cas d’un léiomyosarcome iléal s’étant manifesté, 38 ans après l’irradiation, par une hémorragie digestive basse diagnostiquée par vidéocapsule endoscopique. Ce cas est discuté avec une revue de la littérature concernant les sarcomes secondaires à une RT pour cancer pelvien.
Abstract
Infrequently, malignant lesions can develop after radiotherapy for testicular cancer. These are most commonly carcinomas but, very rarely, can include sarcomas. We report a case of ileal leiomyosarcoma which appeared 38 years after irradiation. It presented with lower bowel haemorrhage diagnosed using videocapsule endoscopy. We discuss this case and review the literature relating to sarcoma resulting from radiotherapy of pelvic cancer.
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Salihoun, M., Sulpice, L., Rioux, N. et al. Quel est le rôle de la radiothérapie dans la survenue d’un léiomyosarcome iléal ?. Acta Endosc 40, 320–322 (2010). https://doi.org/10.1007/s10190-010-0089-9
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DOI: https://doi.org/10.1007/s10190-010-0089-9