直腸原発悪性末梢神経鞘腫の1例

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  • A Case of Malignant Peripheral Nerve Sheath Tumor of the Rectum

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Intestinal malignant peripheral nerve sheath tumor (MPNST) is a very rare disease. We report a case of MPNST of the rectum. A 71-year-old female came to our department because of constipation. Barium enema showed irregular narrowing of the rectum. Colonoscopic examination demonstrated rectal tumor 10cm from the anal verge. Biopsied specimens revealed neurilemmoma, but CT and MRI showed the rectal tumor invading to the uterus and the right ureter. Therefore we speculated malignancy. Low, anterior resection with hysterectomy, bilateral salpin-goophorectomy and the right lower part ureterectomy was performed. Histologically, atypical tumor cells were seen closely in deep layer, and then diagnosed as MPNST. There are no signs of recurrence 12months after the operation.

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