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Updates in Surgery

, Volume 68, Issue 4, pp 423–424 | Cite as

Large retrorectal leiomyosarcoma: case report and considerations about a rare and challenging disease

  • Luca TuratiEmail author
  • Alfio Alessandro Russo
  • Giovanni Sgroi
Letter to the Editor

Dear Editor,

Retrorectal sarcomas are not common, and few data are available in the literature on the best way to treat them. We report a case of a 75-year-old man, with only hypertension in anamnesis, presenting with proctorrhagia and pelvic and lower abdominal pain. Colonoscopy showed a stenotizing lesion from the dentate line extended for 10 cm, partially ulcerated but mostly with the features of ab extrinseco compression with normal mucosa. Histological examination of the biopsies revealed a malignancy of the mesenchymal line. Pelvis MRI showed a 11.5 × 17.5 pelvic mass with an anterior growth infiltrating the rectum ab extrinseco and in contact with prostate, bladder, and seminal vesicles. An endoscopic ultrasound confirmed a bulky pelvic hypoechoic mass-infiltrating prostate and seminal vesicles and penetrating the lumen of the proximal rectum. No lung or liver metastases at CT scan were present. Surgery was a join venture by general surgeons and urologists, and a total pelvic...

Keywords

Seminal Vesicle Leiomyosarcoma Pelvic Exenteration Chylous Leakage Radial Margin 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflicts of interest.

Research involving human participants and/or animals

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

References

  1. 1.
    Keyzer-Dekker CMG et al (2004) Adult pelvic sarcomas: a heterogeneous collection of sarcomas. Sarcoma 8:19–24CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Mackenzie S et al (2003) Management of soft tissue sarcomas of the abdomen and pelvis. Colorectal Dis 5:129–132CrossRefPubMedGoogle Scholar
  3. 3.
    Merchea A et al (2013) The value of preoperative biopsy in the management of solid presacral tumors. Dis Colon Rectum 56:756–760CrossRefPubMedGoogle Scholar
  4. 4.
    Dozois EJ et al (2011) Surgical approach and oncologic outcomes following multidisciplinary management of retrorectal sarcomas. Ann Surg Oncol 18:983–988CrossRefPubMedGoogle Scholar

Copyright information

© Italian Society of Surgery (SIC) 2016

Authors and Affiliations

  • Luca Turati
    • 1
    Email author
  • Alfio Alessandro Russo
    • 1
  • Giovanni Sgroi
    • 1
  1. 1.Surgical Oncology UnitTreviglio HospitalTreviglioItaly

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