Smooth-muscle rectal tumors: A therapeutic dilemma

摘要: Five cases of smooth-muscle rectal tumors seen in the Lexington, Kentucky, area over a 25-year period are reported. These unusual cause symptoms similar to those more common anorectal diseases, namely, painful defecation and bleeding. Often these initially asymptomatic due their submucosal origin. Clinical diagnosi depends on awareness lesions, digital examination, endoscopic tissue biopsy. Microscopic diagnosis differentiation malignant from benign features require pathologist with special interest expertise lesions. Smooth-musclerectal should be considered dangerous than other locations gastrointestinal tract, as half only fifth patients who have sarcomas survive five years. treatment myomas very aggressive outset, abdomino-perineal resecton being advocated by most investigators almost uniform local recurrence lesser procedures. When lesion recurs, it is likely virulent histologically clinically initial lesion. Benign cured excision alone.