胆嚢カルチノイドの1例 A CASE REPORT OF CARCINOID TUMOR OF THE GALLBLADDER

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今回われわれは,極めて稀な胆嚢に原発したカルチノイドの1例を経験したので報告する.症例は, 79歳の女性で上腹部痛を主訴に当科入院した.右季肋部に手拳大の圧痛を伴わない腫瘤を触知,腹部超音波, CT検査にて胆嚢内に約9cm大の境界明瞭で,内部均一な腫瘤像を認めた.胆嚢癌を疑わせる所見には乏しく,胆嚢腫瘍との診断の下,胆嚢摘出術を施行した.腫瘍は91×81mm大で,周囲臓器への局所浸潤および肝,リンパ節への転移も認めず,病理組織学的検査で,粘膜下層までの浸潤を示すカルチノイドと診断された.患者は術後20カ月を経過し,再発の兆候なく健在である.

We report a case of rare carcinoid tumor of the gallbladder. A 79-year-old woman was admitted to the hospital because of upper abdominal pain. A man's fist sized hard tumor without accompaning tenderness was palpable at the right hypochondrial region, and abdominal ultrasonography and computed tomography revealed a tumor in the gallbladder, about 9cm in diameter, which had clear border and diffuse intratumor density. With a diagnosis of gallbladder tumor with low suspicious of cancer, a cholecystectomy was performed. The resected tumor was 91×81mm in size, and no invasion into the surrounding tissue nor metastasis to the liver and regional lymph nodes was recognized. Pathologically it was carcinoid tumor of the gallbladder and the tumor involvement remained in the submucosal layer. She had been well without any recurrence for 20 months after the surgery.

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 59(4), 1104-1108, 1998-04-25

    Japan Surgical Association

参考文献:  12件中 1-12件 を表示

被引用文献:  5件中 1-5件 を表示

各種コード

  • NII論文ID(NAID)
    10008436096
  • 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  CJP引用  J-STAGE 
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