2004 Volume 16 Issue 3 Pages 259-265
Gastrointestinal stromal tumors in the rectum are rare. We present the case of a gastrointestinal stromal tumor in the lower rectum. A 60-year-old female was referred to our department for treatment of a perianal lump. On examination by barium enema, colonoscopy, computed tomography and magnetic resonance imaging, she was diagnosed with a gastrointestinal stromal tumor of approximately 3 cm in length between the rectum and the vaginal wall. A perineal approach was considered optimal in this case. Successful local resection with preservation of anal function was indicated by postoperative anal continence and manometry. It is important to consider not only curability but also the patient quality of life in cases of tumors in the lower rectum.