胃癌術後の残胃に発生した巨大平滑筋肉腫の1例

• 森 直樹

  高知県立中央病院外科

• 堀見 忠司

  高知県立中央病院外科

• 岡林 孝弘

  高知県立中央病院外科

• 森田 荘二郎

  高知県立中央病院放射線科

• 寺田 紘一

  寺田外科

書誌事項

タイトル別名

• LEIOMYOSARCOMA OF THE REMNANT STOMACH ELEVEN YEARS AFTER UNDERGOING A DISTAL GASTRECTOMY FOR GASTRIC CARCINOMA-A CASE REPORT-

抄録

Cases of leiomyosarcoma of the remnant stomach are very rare, and only thirty-two have been reported in Japan.<br> A 62-year-old woman who had undergone a distal gastrectomy (Billroth I) for gastric carcinoma 11 years previously was admitted with anorexia. Submucosal tumor of the remnant stomach was diagnosed by gastrointestinal series. An abdominal CT-scan showed a huge irregularly enhanced tumor, and a low density area in the liver was suspected metastasis. Angiography of the celiac axis demonstrated a tumor staining with hypervascularity, supplied by the short gastric artery and the left hepatic artery. A resection of the total remnant stomach was performed with lymph node dissection, splenectomy, distal pancreatectomy (body-tail), cholecystectomy, resection of the lateral segment of the liver, enucleation of the tumor located anterior segment of the liver and anastomosis of Roux-en Y method. The resected tumor measuring 20×15×12cm in size showed growth extragastric. Histological findings revealed leiomyosarcoma of the remnant stomach with liver metastasis.

収録刊行物

• 日本臨床外科学会雑誌

  日本臨床外科学会雑誌 61 (4), 949-953, 2000

  日本臨床外科学会

キーワード

• 残胃
• 巨大平滑筋肉腫
• 肝転移

詳細情報

• CRID: 1390001204850713856
• NII論文ID: 130003601846
• NII論文ID: 10009378960
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.61.949
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/61/4/61_4_949/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2000216271
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可