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直肠平滑肌肉瘤临床上较少见,我院1988年1月～1998年12月共收治直肠平滑肌肉瘤8例,占同期收治直肠癌542例的1.48%,现报告如下.1 临床资料1.1 一般资料 男6例,女2例,年龄27～64岁,平均49岁.病程6～12个月.1.2 临床表现 排便异常6例,下腹触及包块1例,其中以大便次数增多、大便变形、变细、排便不畅、肛门下坠、有异物样感为多见,便血6例,肛门胀痛4例.1.3 肿瘤位置 距肛门3～6cm 6例,6.1～9cml例,9cm以上1例.直肠指检为单发性、圆形的粘膜下肿块,表面光滑不易推动,质地偏硬.直肠前壁4例,侧壁3例,后壁1例.
Rectal leiomyosarcoma is clinically rare. In our hospital from January 1988 to December 1998, there were 8 cases of rectal leiomyosarcoma, which accounted for 1.48% of 542 cases of rectal cancer at the same time. The current report is as follows.1 Clinical data 1.1 General information 6 cases, 2 females, aged 27-64 years, mean 49 years, duration of 6-12 months, 1.2 clinical manifestations of bowel abnormalities in 6 cases, 1 case of palpable mass in the lower abdomen, which increased in stool frequency, stool deformation, thinning , Defecation is not smooth, the anus falls, a sense of foreign body is more common, hematochezia in 6 cases, anal pain in 4 cases. 1.3 tumor location from the anus 3 ~ 6cm 6 cases, 6.1 ~ 9cml cases, 9cm above 1 case. Rectal examination Single, round submucosal mass, smooth surface is not easy to push, hard texture. 4 cases of rectal wall, 3 cases of lateral wall, 1 case of posterior wall.