早期大腸癌と胆管細胞癌の同時性重複癌の1切除例 AN OPERATIVE CASE OF SYNCHRONOUS EARLY COLORECTAL CANCER AND CHOLANGIOCELLULAR CARCINOMA

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今回われわれは,早期大腸癌と胆管細胞癌の稀な同時性重複癌を経験したので報告する.<br> 症例は71歳,男性,糖尿病の治療中,肝機能障害を指摘され,腹部超音波検査で肝右葉に低エコーの腫瘤を認めた.<br> 精査にて, CT,および腹部血管造影でも肝右葉に約7×5cmの腫瘍を,さらに注腸,内視鏡検査でBauhin弁より肛門側3cmの上行結腸に約2cm径のI型大腸癌を認めた.<br> 以上より,回盲部切除,および肝拡大右葉切除を施行,術後病理組織診断にて早期大腸癌,胆管細胞癌の同時性重複癌と診断された.<br> われわれの経験から早期大腸癌に併存した肝病変で,肝転移に特徴的な画像所見を示さなかった場合,本例でみられた様な重複癌の可能性も考慮し,対処することが肝要であると考えられた.

We herein describe a rare operative case of synchronous early colorectal cancer and cholangiocellular carcinoma.<br> A 71-year-old man was referred to the hospital for further evaluation of liver dysfunction which was pointed out during the treatment of diabetes melitus at another hospital.<br> Abdominal ultrasonography reveled an ill-defined isoechoic tumor in the right hepatic lobe. Abdominal computed tomogram and angiogram indicated a 7×5 cm mass in the right hepatic lobe. Barium enema and colonic endoscopy showed a 2 cm elevated lesion which was located in the ascending colon 3 cm above the Bauhin's valve. We simultaneously performed ileocecal resection and extended right hepatectomy. The resected specimens were histopathologically diangosed as synchronous IIa type early colorectal cancer and cholangiocellular carcinoma in the liver.<br> It is very important to entertain a possibility of double cancer, if hepatic tumors with colorectal cancer show atypical radiologic findings.

収録刊行物

  • 日本臨床外科医学会雑誌 = The journal of the Japanese Practical Surgeon Society

    日本臨床外科医学会雑誌 = The journal of the Japanese Practical Surgeon Society 57(4), 992-997, 1996-04-25

    Japan Surgical Association

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各種コード

  • NII論文ID(NAID)
    10008520883
  • NII書誌ID(NCID)
    AN00198696
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    03869776
  • データ提供元
    CJP書誌  J-STAGE 
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