PMC4739257_01
TC showing the presence of a 5.2x5.0x5.6 cm mass with a marked, irregular,
eccentric thickening of the left anterior rectal wall of the lower third of the
rectum, with close contact with the posterior vaginal wall and partial invasion of
the levator ani muscle.
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Computed tomography showed the presence of a tumor of 5.2x5.0x5.6 cm, irregular, with eccentric thickening of the left anterior rectal wall in the lower rectum, with close contact with the posterior vaginal wall and partial invasion of the levator ani muscle, but with no evidence of lymph node or distant metastases (Figure 1).
Assessment of tumour response to Imatinib: MRI showing a predominantly exophytic,
heterogenous, submucosal mass (measuring 4.0x3.0x 3.1 cm) on the left anterior
rectal wall occupying the rectovaginal septum, with partial invasion of the
cranial portion of levator ani muscle.
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At that time, a pelvic MRI showed a partial diminution of the mass dimensions (4.0x3.0x3.1 cm), but still occupying the rectovaginal septum, with close contact of the cranial portion of levator ani muscle (Figure 2).
Surgical specimen with tumor mass completely excised en-bloc with part of the
posterior wall of the vagina and a minimal portion of tissue from the levator ani
muscle
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The tumor mass was completely excised en-bloc with part of the posterior wall of the vagina and a minimal portion of tissue from the levator ani muscle (Figure 3).
Rectal wall defect closure with conventional hand-sewn interrupted suture
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The suture consisted of conventional hand-sewn interrupted stitches (Figure 4).