caa a22 4500 475802993 CHVBK 20180406123742.0 cr unu---uuuuu 170329e20000401xx s 000 0 eng 10.1007/s002689910069 doi (NATIONALLICENCE)springer-10.1007/s002689910069 Tumors of the Rectum and Anal Canal [Elektronische Daten] [Kathryn F. Hatch, D. Kay Blanchard, III, George F. Hatch, Laura Wertheimer-Hatch, Gregory B. Davis, Jr., Roger S. Foster, John E. Skandalakis] Abstract.: This collective review includes all available case reports of smooth muscle (stromal) tumors of the rectum and anal canal in the world literature. When compiling this review we endeavored to present cumulative and recently collected data of both benign and malignant smooth muscle tumors found in the literature spanning the period from 1881 to 1996, which totaled 432 leiomyomas (LMs) and 480 leiomyosarcomas (LMSs) of the anus and rectum. The peak age of frequency for LMs was 40 to 59 years and 50 to 69 years for LMSs; men were slightly more likely to develop both benign and malignant anorectal smooth muscle tumors than women. Intraluminal growth of both LMs and LMSs was more frequently seen than extraluminal or intramural patterns, and tumors were more likely to be found in the rectum than in the anus. Patients with LMs presented most commonly with gastrointestinal (GI) bleeding, a palpable mass, or anorectal pain. As with smooth muscle tumors in other areas of the alimentary tract, symptoms likely persisted for less than 1 year prior to diagnosis. As was also the case for these neoplasms in other GI locations, LMSs tended to be larger than LMs. Approximately 20% of LMSs reported from 1881 to 1996 had metastasized at diagnoses. The local recurrence rate for resectable tumors was more than 80%, exceeding the propensity of LMSs in other areas of the GI tract to recur. Société Internationale de Chirurgie, 2000 Hatch Kathryn F. Centers for Surgical Anatomy and Technique, Emory University School of Medicine, 1462 Clifton Road, NE, Suite 303, Atlanta, Georgia 30322, USA, US aut Blanchard D. Kay Centers for Surgical Anatomy and Technique, Emory University School of Medicine, 1462 Clifton Road, NE, Suite 303, Atlanta, Georgia 30322, USA, US aut Hatch III, George F. Centers for Surgical Anatomy and Technique, Emory University School of Medicine, 1462 Clifton Road, NE, Suite 303, Atlanta, Georgia 30322, USA, US aut Wertheimer-Hatch Laura Centers for Surgical Anatomy and Technique, Emory University School of Medicine, 1462 Clifton Road, NE, Suite 303, Atlanta, Georgia 30322, USA, US aut Davis Gregory B. Centers for Surgical Anatomy and Technique, Emory University School of Medicine, 1462 Clifton Road, NE, Suite 303, Atlanta, Georgia 30322, USA, US aut Foster Jr., Roger S. Centers for Surgical Anatomy and Technique, Emory University School of Medicine, 1462 Clifton Road, NE, Suite 303, Atlanta, Georgia 30322, USA, US aut Skandalakis John E. Centers for Surgical Anatomy and Technique, Emory University School of Medicine, 1462 Clifton Road, NE, Suite 303, Atlanta, Georgia 30322, USA, US aut World Journal of Surgery Springer-Verlag 24/4(2000-04-01), 437-443 0364-2313 24:4<437 2000 24 268 https://doi.org/10.1007/s002689910069 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002689910069 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hatch Kathryn F. Centers for Surgical Anatomy and Technique, Emory University School of Medicine, 1462 Clifton Road, NE, Suite 303, Atlanta, Georgia 30322, USA, US aut NATIONALLICENCE 700 1- Blanchard D. Kay Centers for Surgical Anatomy and Technique, Emory University School of Medicine, 1462 Clifton Road, NE, Suite 303, Atlanta, Georgia 30322, USA, US aut NATIONALLICENCE 700 1- Hatch III, George F. Centers for Surgical Anatomy and Technique, Emory University School of Medicine, 1462 Clifton Road, NE, Suite 303, Atlanta, Georgia 30322, USA, US aut NATIONALLICENCE 700 1- Wertheimer-Hatch Laura Centers for Surgical Anatomy and Technique, Emory University School of Medicine, 1462 Clifton Road, NE, Suite 303, Atlanta, Georgia 30322, USA, US aut NATIONALLICENCE 700 1- Davis Gregory B. Centers for Surgical Anatomy and Technique, Emory University School of Medicine, 1462 Clifton Road, NE, Suite 303, Atlanta, Georgia 30322, USA, US aut NATIONALLICENCE 700 1- Foster Jr., Roger S. Centers for Surgical Anatomy and Technique, Emory University School of Medicine, 1462 Clifton Road, NE, Suite 303, Atlanta, Georgia 30322, USA, US aut NATIONALLICENCE 700 1- Skandalakis John E. Centers for Surgical Anatomy and Technique, Emory University School of Medicine, 1462 Clifton Road, NE, Suite 303, Atlanta, Georgia 30322, USA, US aut NATIONALLICENCE 773 0- World Journal of Surgery Springer-Verlag 24/4(2000-04-01), 437-443 0364-2313 24:4<437 2000 24 268 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer