巨大な胃外発育型胃癌の1例 A CASE OF EXTRAGASTRIC GROWTH TYPE GASTRIC CANCER

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症例は67歳,男性.腹部腫瘤を主訴に入院.右上腹部に可動性のある弾性硬の小児頭大の腫瘤を触知した. 血液検査では貧血とCEA高値(37.6ng/ml) を認めた. 腹部超音波検査では右上腹部に内腔が低エコーで厚い壁構造を有する長径約12cm大の嚢状腫瘤を認め,造影CTで周囲が淡くenhanceされた.胃内視鏡検査では胃前庭部大彎後壁寄りにBorrma III型の腫瘍を認め,壁外発育を示す進行胃癌と診断された.術中所見で横行結腸に浸潤を認めたため, 横行結腸合併切除を伴う胃亜全摘術, D3郭清(T3, N2, P0, H0, M0, Stage IIIb)を施行した.

First Department of Surgery, Kagawa Medical University A 67-year-old man was admitted to the hospital because of a palpable abdominal tumor. An infant head sized tumor was felt at the right side of the upper abdomen. On a blood analysis, anemia and an increase in CEA level (37.6ng/ml) were noted. Abdominal ultrasonography and a contrast-enhanced CT scan revealed a large cystic tumor, about 12cm in longer diameter with thickened wall. Gastric endoscopy revealed advanced gastric cancer, Borrmann type III, located lower anterior body of the stomach. Operation was carried out with a diagnosis of extragastric growth type carcinoma of the stomach. Subtotal gastrectomy with lymph node dissection (D3) and a partial resection of the transverse colon were performed. This type of gastric cancer is extremely rare, and its prognosis is very poor.

収録刊行物

  • 日本臨床外科学会雑誌 = The journal of the Japan Surgical Association

    日本臨床外科学会雑誌 = The journal of the Japan Surgical Association 62(2), 392-395, 2001-02-25

    日本臨床外科学会

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各種コード

  • NII論文ID(NAID)
    10008388086
  • NII書誌ID(NCID)
    AA11189709
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    13452843
  • データ提供元
    CJP書誌  J-STAGE 
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