Colonic leiomyoma--an unusual cause of gastrointestinal hemorrhage in childhood. Report of a case

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This report describes the first pediatric case of lower gastrointestinal hemorrhage caused by a colonic leiomyoma, highlighting histological challenges in distinguishing these tumors from leiomyosarcomas and recommending wide resection for spindle cell neoplasms.

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This case report describes a pediatric patient presenting with lower gastrointestinal hemorrhage caused by a rare colonic leiomyoma. The authors note that intestinal leiomyomas are exceptionally uncommon in children, having identified only three prior cases in their literature review. They emphasize the significant challenge in histologically distinguishing benign leiomyomas from malignant leiomyosarcomas and recommend wide resection for such spindle cell neoplasms to mitigate diagnostic uncertainty. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Leiomyomas of the intestine are rarely found in the pediatric population. The authors' review of the literature revealed only three colonic leiomyomas previously described. The authors present the first reported case of a child with lower gastrointestinal hemorrhage secondary to a colonic leiomyoma. Pathologic aspects of intestinal leiomyomas are discussed along with the difficulty in histologic differentiation from leiomyosarcomas. Wide resection is recommended for spindle cell neoplasms of the intestine owing to difficulty in differentiating benign from malignant tumors.
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Case Reports: PDF Only Colonic leiomyoma—An unusual cause of gastrointestinal hemorrhage in childhood Report of a case - Steven P. Cummings - Kevin P. Lally - Victor Pineiro-Carrero - David E. Beck Leiomyomas of the intestine are rarely found in the pediatric population. The authors' review of the literature revealed only three colonic leiomyomas previously described. The authors present the first reported case of a child with lower gastrointestinal hemorrhage secondary to a colonic leiomyoma. Pathologic aspects of intestinal leiomyomas are discussed along with the difficulty in histologic differentiation from leiomyosarcomas. Wide resection is recommended for spindle cell neoplasms of the intestine owing to difficulty in differentiating benign from malignant tumors. Copyright © The ASCRS 1990

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MeSH descriptors

Colonic Neoplasms Gastrointestinal Hemorrhage Leiomyoma Child Colonic Neoplasms Colonic Neoplasms Colonic Neoplasms Gastrointestinal Hemorrhage Humans Leiomyoma Leiomyoma Leiomyoma Male Prognosis

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europepmc
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pubmed
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