Abstract
Gastrointestinal stromal tumors (GISTs) rarely arise in the rectum. Whereas a local resection with negative margins is generally considered adequate for resectable GISTs, a wide resection is usually indicated for rectal lesions because of the technical impossibility of local resection. We report the cases of two patients who underwent resection of a rectal GIST using a transsacral approach. Both patients had an uneventful postoperative course, and no evidence of recurrence has been identified. The transsacral approach appears to be less invasive and should be considered as the treatment of choice for a rectal GIST.
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Y Shibata U Tadashi H Seki N Yagihashi (2001) ArticleTitleGastrointestinal stromal tumor of the rectum Eur J Gastroenterol Hepatol 13 283–6 Occurrence Handle11293450 Occurrence Handle10.1097/00042737-200103000-00012 Occurrence Handle1:STN:280:DC%2BD3Mzitl2rtg%3D%3D
SS Lo GI Papachristou SD Finkelstein WP Conroy WH Schraut RK Ramanathan (2005) ArticleTitleNeoadjuvant Imatinib in gastrointestinal stromal tumor of the rectum: report of a case Dis Colon Rectum 48 1316–9 Occurrence Handle15793646 Occurrence Handle10.1007/s10350-004-0922-3
JY Blay S Bonvalot P Casali H Choi M Debiec-Richter AP Dei Tos et al. (2005) ArticleTitleConsensus meeting for the management of gastrointestinal stromal tumors: report of the GIST consensus conference of 20–21 March 2004, under the auspices of ESMO Ann Oncol 16 566–78 Occurrence Handle15781488 Occurrence Handle10.1093/annonc/mdi127
E Otsuji J Fujiyama T Takagi T Ito A Hagiwara K Naito et al. (2004) ArticleTitleTransanal excision of a large rectal polyp assisted by transsacral manipulation of the rectum Dis Colon Rectum 47 1420–2 Occurrence Handle15484360 Occurrence Handle10.1007/s10350-004-0581-4
GD Demetri R Benjamin CD Blanke H Choi C Corless RP DeMatteo et al. (2004) ArticleTitleNCCN task force report: optional management of patients with gastrointestinal stromal tumor (GIST)—expansion and update of NCCN clinical practice guidelines JNCCN 2 IssueIDSuppl 1 S1–26
I Hassan YN You EJ Dozois R Shayyan TC Smyrk SH Okuno et al. (2006) ArticleTitleClinical, pathologic, and immunohistochemical characteristics of gastrointestinal stromal tumors of the colon and rectum: implications for surgical management and adjuvant therapies Dis Colon Rectum 49 609–15 Occurrence Handle16552495 Occurrence Handle10.1007/s10350-006-0503-8
EM Connolly E Gaffney JV Reynolds (2003) ArticleTitleGastrointestinal stromal tumors Br J Surg 90 1178–86 Occurrence Handle14515284 Occurrence Handle10.1002/bjs.4352 Occurrence Handle1:STN:280:DC%2BD3svltl2itw%3D%3D
T Terkivatan PT Hoed JFM Lange SuffixJr VCM Koot JJ Goch HF Veen (2005) ArticleTitleThe place of the posterior surgical approach for the lesions of the rectum Dig Surg 22 86–90 Occurrence Handle15849468 Occurrence Handle10.1159/000085298 Occurrence Handle1:STN:280:DC%2BD2M3ks1Olug%3D%3D
P Kraske (1885) ArticleTitleZur extirpation hochsitzenden mastdarmkrebs verhandle deutsch gesellsch Verh Otsch Ges Chir 14 464–74
WB Sweeney N Deshmukh (1991) ArticleTitleModified Kraske approach for disease of the mid-rectum Am J Gastroenrol 86 75–8 Occurrence Handle1:STN:280:By6D1MnnvVc%3D
O Kronborg J Kramhoft O Baker M Sprechler (1974) ArticleTitleEarly complications following operations for cancer of the rectum and anus Dis Colon Rectum 17 741–9 Occurrence Handle4140057 Occurrence Handle10.1007/BF02587632 Occurrence Handle1:STN:280:CSqD2MjjslY%3D
SE Wilson HE Gordon (1969) ArticleTitleExcision of rectal lesions by the Kraske approach Am J Surg 118 213–7 Occurrence Handle5798391 Occurrence Handle10.1016/0002-9610(69)90123-8 Occurrence Handle1:STN:280:CCaB2M7gsVc%3D
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Matsushima, K., Kayo, M. Transsacral Approach to Resect a Gastrointestinal Stromal Tumor in the Rectum: Report of Two Cases. Surg Today 37, 698–701 (2007). https://doi.org/10.1007/s00595-006-3466-4
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DOI: https://doi.org/10.1007/s00595-006-3466-4