直肠平滑肌瘤伴黏液样变性一例
A Case of Rectal Leiomyoma with Myxoid Degeneration
DOI: 10.12677/acm.2025.153629, PDF,   
作者: 施玉婷:绍兴文理学院医学院,浙江 绍兴;吕佳丽, 孙继红*:浙江大学医学院附属邵逸夫医院放射科,浙江 杭州;乔 丹:浙江大学医学院附属邵逸夫医院病理科,浙江 杭州
关键词: 直肠平滑肌瘤黏液样变性Rectal Leiomyoma Myxoid Degeneration
摘要: 平滑肌瘤在消化系统肿瘤中较为罕见,而直肠平滑肌瘤的发生率更低,仅占消化道平滑肌肿瘤的3%。本研究报道了一例无明显临床症状的直肠平滑肌瘤伴黏液样变性病例,通过对其临床表现、病理特征及治疗过程的详细分析,旨在进一步提升对直肠平滑肌瘤的疾病认知,优化其诊断与治疗策略,为临床实践提供参考依据。
Abstract: Leiomyoma is rare in digestive system tumors, and the incidence of rectal leiomyoma is even lower, accounting for only 3% of digestive tract smooth muscle tumors. In this study, we report a case of rectal leiomyoma with myxoid degeneration without obvious clinical symptoms. Through detailed analysis of its clinical manifestations, pathological features and treatment process, we aim to further improve the understanding of rectal leiomyoma, optimize its diagnosis and treatment strategy, and provide a reference for clinical practice.
文章引用:施玉婷, 吕佳丽, 乔丹, 孙继红. 直肠平滑肌瘤伴黏液样变性一例[J]. 临床医学进展, 2025, 15(3): 399-403. https://doi.org/10.12677/acm.2025.153629

参考文献

[1] Sunkara, T., Then, E.O., Culliford, A. and Gaduputi, V. (2018) Rectal Leiomyoma, a Rare Entity. Clinics and Practice, 8, Article 1053. [Google Scholar] [CrossRef] [PubMed]
[2] DeMatteo, R.P., Lewis, J.J., Leung, D., Mudan, S.S., Woodruff, J.M. and Brennan, M.F. (2000) Two Hundred Gastrointestinal Stromal Tumors: Recurrence Patterns and Prognostic Factors for Survival. Annals of Surgery, 231, 51. [Google Scholar] [CrossRef] [PubMed]
[3] Campos, F.G., Leite, A.F., Araújo, S.E.A., Atuí, F.C., Seid, V., Habr-Gama, A., et al. (2004) Anorectal Leiomyomas: Report of Two Cases with Different Anatomical Patterns and Literature Review. Revista do Hospital das Clínicas, 59, 296-301. [Google Scholar] [CrossRef] [PubMed]
[4] González-Díaz, E., Cengotitabengoa, B.G., Carbajo, A.B.D., Fernández, C.F. and Corona, A.F. (2021) Imaging Diagnosis of Perianal Leiomyoma: A Case Report. Annals of Coloproctology, 37, S58-S62. [Google Scholar] [CrossRef] [PubMed]
[5] Miettinen, M. and Lasota, J. (2001) Gastrointestinal Stromal Tumors-Definition, Clinical, Histological, Immunohistochemical, and Molecular Genetic Features and Differential Diagnosis. Virchows Archiv, 438, 1-12. [Google Scholar] [CrossRef] [PubMed]
[6] 张夏青, 许文科, 刘伟臻, 等. 1例经骶尾入路手术治疗直肠平滑肌瘤并发肠瘘病例报告[J]. 结直肠肛门外科, 2023, 29(1): 86-89.
[7] Palma, G.D.D., Rega, M., Masone, S., Siciliano, S., Persico, M., Salvatori, F., et al. (2009) Lower Gastrointestinal Bleeding Secondary to a Rectal Leiomyoma. World Journal of Gastroenterology, 15, 1769-1770. [Google Scholar] [CrossRef] [PubMed]
[8] Chi, F., Lan, Y. and Zhou, S. (2022) Difficult Defecation Caused by a Huge Rectal Leiomyoma. Journal of the College of Physicians and Surgeons Pakistan, 32, 135-136. [Google Scholar] [CrossRef] [PubMed]
[9] Yaghi, S., Qirem, M., Hussain, M., Marium, F. and Digiacomo, S.W. (2024) An Incidental Discovery of Rectal Leiomyoma in an Asymptomatic Patient: A Case Report. Cureus, 16, e70512. [Google Scholar] [CrossRef] [PubMed]
[10] 何晨冬, 葛凤林, 杨巍. 肛周平滑肌瘤伴直肠下段平滑肌瘤1例[J]. 巴楚医学, 2023, 6(1): 14-16.
[11] Miettinen, M., Sarlomo-Rikala, M. and Lasota, J. (1999) Gastrointestinal Stromal Tumors: Recent Advances in Understanding of Their Biology. Human Pathology, 30, 1213-1220. [Google Scholar] [CrossRef] [PubMed]
[12] Purysko, A.S., Coppa, C.P., Kalady, M.F., Pai, R.K., Leão Filho, H.M., Thupili, C.R., et al. (2014) Benign and Malignant Tumors of the Rectum and Perirectal Region. Abdominal Imaging, 39, 824-852. [Google Scholar] [CrossRef] [PubMed]
[13] Kim, Y., Jung, Y.Y. and Kim, E.K. (2021) Leiomyosarcoma of the Sigmoid Colon Causing Sigmoido-Rectal Intussusception: A Case Report. Journal of the Korean Society of Radiology, 82, 201-206. [Google Scholar] [CrossRef] [PubMed]
[14] Karam, K., Chebbo, H., Saleh, S., Jalloul, S., Salem, J., Al Halabi, K., et al. (2024) An Unusual Diagnosis of Rectosigmoid Leiomyoma in an Adult: A Rare Case Report. Clinical Medicine Insights: Case Reports, 17, 1-14. [Google Scholar] [CrossRef] [PubMed]
[15] Choi, H.H., Cho, Y., Choi, S.K., Kim, H., Kim, S.S., Chae, H., et al. (2016) Clinical Outcomes of Endoscopic Removal in Patients with Colorectal Polypoid Leiomyomas. The Korean Journal of Gastroenterology, 68, 179-185. [Google Scholar] [CrossRef] [PubMed]
[16] 莫超华, 毛荣军, 谢乐, 等. 结直肠黏膜平滑肌瘤28例临床病理学特征[J]. 临床与实验病理学杂志, 2020, 36(8): 969-971.
[17] Vorobyov, G.I., Odaryuk, T.S., Kapuller, L.L., Shelygin, Y.A. and Kornyak, B.S. (1992) Surgical Treatment of Benign, Myomatous Rectal Tumors. Diseases of the Colon & Rectum, 35, 328-331. [Google Scholar] [CrossRef] [PubMed]
[18] Odariuk, T.S., Vorob’ev, G.I., Kapuller, L.L., et al. (1992) Khirurgicheskoe lechenie dobrokachestvennykh gladkomyshechnykh opukholeĭ pri-amoĭ kishki [The Surgical Treatment of Benign Smooth-Muscle Tumors of the Rectum]. Khirurgiia, 3, 62-66.