Abstract

We encountered a case of rectal leiomyosarcoma with perianal Paget's disease. A 74-year-old man visited our hospital complaining of anal pain and bloody stool. Barium enema examination showed a protruding lesion in the rectum, and endoscopic diagnosis was a submucosal tumor of the rectum. The patient underwent Miles operation for a malignant rectal tumor. Hpwevers, histological diagnosis is unexpectedly determined to be leiomyosarcoma and perianal Paget's disease. Perianal Paget's disease is often associated with a rectal or anal malignant tumor, but is rarely associated with a rectal leiomyosarcoma.

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