摘要: A patient with leiomyosarcoma of the rectum is presented a brief review 7 other patients seen in Birmingham region from 1950 to 1967. short discussion given concerning difficulties diagnosis and treatment. We would concur Diamante Bacon's view (1967) that abdominoperineal excision treatment choice, but for small border-line tumours local may be adequate if intensive follow-up used. Radical practised at first sing possible recurrence. The cases seem unusual because predominance distant metastases when compared spread more commonly reported by workers.