Zusammenfassung
Wir berichten kasuistisch von einem sehr seltenen Befund (1:200 000) eines primären
rektalen Rhabdomyosarkoms bei einem 29-jährigen Mann. In der Literatur existiert bisher
keine Beschreibung eines primären RMS des Rektums bei Erwachsenen. Die Diagnostik
erfolgte mittels Endoskopie mit Biopsieentnahme, Computertomographie (CT), Magnet-Resonanz-Tomographie
(MRT) und Positronenemissionstomographie (PET). Nach neoadjuvanter Chemotherapie mit
Adriamycin und Isofosfamide erfolgte eine anteriore Rektumresektion. Ziel dieser Kasuistik
ist es, RMS als weitere Differenzialdiagnose bei atypischen rektalen Tumoren Erwachsener
aufzuzeigen.
Abstract
We report an extremely rare case (1:200 000) of primary rectal rhabdomyosarcoma (RMS)
in an adult. In the literature, this case report is the first one dealing with an
adult patient. The diagnosis was assessed by computed tomography (CT), magnetic resonance
imaging (MRI), positron emission tomography (PET), endoscopy and histological examination.
Neoadjuvant systemic chemotherapy with adriamycin and isofosfamide followed by anterior
rectum resection was performed. This article should implicate RMS as a rare differential
diagnosis of atypical rectal tumours in adults.
Schlüsselwörter
kolorektales Karzinom - Rektumkarzinom - gastroenteropankreatische Tumoren
Key words
colorectal carcinoma - rectal tumours - gastro-entero-pancreatic tumours
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Dr. Valentin Becker
Klinikum rechts der Isar
Ismaninger Str. 22
81675 München
Email: valentin.becker@lrz.tu-muenchen.de