Leiomyosarcoma of the ischiorectal fossa: report of a novel sphincter and sciatic nerve sparing simultaneous trans-abdominal and trans-gluteal resection and review of the literature
نویسندگان
چکیده
Leiomyosarcomas are rare tumours of smooth muscle origin, and there have been no reported cases of such tumours arising within the ischiorectal fossa. Surgical resection with clear margins remains the gold standard treatment; however, there is limited literature on surgical approaches to the ischiorectal fossa for such tumours. We report a case of a high-grade leiomyosarcoma in a 59-year-old lady, occurring within the ischiorectal fossa that was managed using a novel simultaneous sphincter and sciatic nerve preserving trans-abdominal and trans-gluteal technique. This novel approach could be utilized not only for sarcomas but also for other tumours of the ischiorectal fossa extending into the gluteal region.
منابع مشابه
Report of a Novel Bilateral Variation of Sciatic and Inferior Gluteal Nerve
Sciatic nerve is the thickest nerve of the sacral plexus, which innervates many muscles and vast areas of the skin of the lower limb. It leaves the pelvis via the greater sciatic foramen, emerges into the gluteal region by passing under the piriformis muscle, and descends beneath the gluteus maximus to divide into its terminal branches: tibial and common peroneal nerve at the superior angle of ...
متن کاملگزارش واریاسیون عصبی در ناحیه گلوتئال
Received: 31 Dec, 2008 Accepted: 22 July, 2009 Abstract The sciatic nerve, posterior cutaneus nerve of thigh, and inferior gluteal nerve are branches of sacral plexus. They leave the pelvis via greater sciatic foramen and arises in gluteal region in infra piriformis fossa. The sciatic nerve usually divides at the upper angle of the popliteal fossa to common peroneal and tibial nerves. The...
متن کاملگزارش یک مورد واریاسیون نادر عصب سیاتیک
Sciatic nerve, as the largest branch of the sacral plexus and the thickest nerve of the body, forms from the ::::union:::: of ventral branches of L4-S3. Then it leaves the pelvis via the greater sciatic foramen below the piriformis and descends between the greater trochanter and ischial tuberosity. Afterwards, it divides into the tibial and the common proneal nerves, most frequently at the leve...
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Primary sarcomas of the kidney are exceptional. Among renal sarcomas, leiomyosarcoma is the most common histologic subtype amounting to 50-60% of all cases. The tumor usually arises from either the renal capsule or smooth muscle tissue in the renal pelvic wall. In this paper, we report a patient with leiomyosarcoma of the kidney presented with non-specific abdominal pain and a palpable mass....
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ورودعنوان ژورنال:
دوره 2015 شماره
صفحات -
تاریخ انتشار 2015