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PubMedDate not supplied

Extrauterine müllerian adenosarcoma associated with endometriosis and rectal villotubular adenoma: report of a case and review of the literature.

Extrauterine mullerian adenosarcoma is rare and is thought to arise from endometriotic deposits or pluripotent mesothelial and mesenchymal cells of the pelvic cavity. Concomitant colon-rectal neoplasm was reported but the relationship between extrauterine adenosarcoma and colon tumor was not studied. We describe an extrauterine adenosarcoma with a concomitant rectal tubulovillous adenoma. The patient had a long-term history of endometriosis and unopposed estrogen therapy. Immunohistochemical study was performed to investigate the origin and nature of the adenosarcoma. Immunostaining provided the evidence to distinguish between rectal tumor and adenosarcoma. Extrauterine adenosarcoma may arise from endometriosis, and hormone replacement therapy may have some role in the malignant transformation process. Adenosarcoma should be considered in the differential diagnosis of a new pelvic tumor in a patient with a history of endometriosis.

Adenoma↗
PubMedDate not supplied

[The Miles-Thompson-Bricker method of total pelvic exenteration in malignant tumors of the rectum with urinary bladder infiltration].

The radical method of surgical treatment of malignant rectal neoplasms, total pelvic exenteration by Miles-Thompson-Bricker, was introduced in the Clinic for General and Vascular Surgery of Military Medical Academy in October, 1993, 45 years after the first operation of that kind in the world. This method of surgical treatment was indicated in 3% of our patients with malignant neoplasms of the distal part of rectum that infiltrated the urinary bladder. The life of patients with two stomas though not easy, was prolonged.

Adult↗
PubMed1985

Perineal and bladder necrosis following bilateral internal iliac artery ligation. Report of a case.

Abdominoperineal resection with pelvic sidewall dissection is not uncommonly performed for treatment of bulky primary or locally recurrent rectal neoplasms. Usually, the internal iliac arteries and veins are ligated bilaterally early in the course of the procedure to reduce intraoperative blood loss and to facilitate subsequent dissection of the pelvic sidewalls. No complications related to bilateral internal iliac artery ligation in this setting have been described previously. In this report, profound vesical and perineal necrosis after bilateral internal iliac artery ligation occurred in a female patient operated on for recurrent rectal cancer. If the internal iliac artery is ligated below the take-off of the gluteal vessels, perineal necrosis can be prevented.

Aged↗