腸重積を合併したびまん浸潤型大腸癌の１例

• 二村 直樹

  羽島市民病院外科

• 松友 将純

  羽島市民病院外科

• 安村 幹央

  羽島市民病院外科

• 立山 健一郎

  羽島市民病院外科

• 多羅尾 信

  羽島市民病院外科

• 阪本 研一

  岐阜大学第1外科

書誌事項

タイトル別名

• A CASE OF DIFFUSELY INFILTRATING CARCINOMA OF THE LARGE INTESTINE ASSOCIATED WITH INTUSSUSCEPTION.

抄録

We report a case of type 4 colonic carcinoma associated with intussusception.<br>A 54-year-old woman was admitted to the hospital because of abdominal pain. On admission, her abdomen was flat and soft and a fist-sized tumor was palpable in the right lateral abdomen. Hematological study revealed an increase of CEA to 4100 ng/ml. Abdominal ultrasonic study and CT scan visualized a concentric lamellar structure in the ascending colon, and intussusception was diagnosed. Barium enema study showed a filling defect like a crab's claw in the ascending colon. After admission, intestinal obstruction progressed and abdominal pain became serious. Colonic cancer associated with intussusception was suspected, and surgery was performed on the 4^th hospital day. Upon laparotomy, ascites and peritoneal dissemination were present and a fist-sized tumor in the ascending colon and ileocecal type intussusception were identified. A right hemicolectomy was performed. The resected material disclosed the type 4 tumor extending to the ascending colon and ileum, centering the cecum. Histopathologically it was moderately to poorly differentiated adenocarcinoma, with pronounced lymphatic invasion. The patient died of cancer 5 months after the operation.

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 64 (9), 2229-2232, 2003

  日本臨床外科学会

キーワード

• びまん浸潤型大腸癌
• 4型大腸癌
• 腸重積

詳細情報

• CRID: 1390282679821120000
• NII論文ID: 130003603715
• NII論文ID: 10011675369
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.64.2229
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/64/9/64_9_2229/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2004052839
• 本文言語コード: ja
• データソース種別:
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  • Crossref
  • CiNii Articles
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