小腸じゅう毛癌の１例

• 伊藤 裕之

  横浜総合病院外科

• 鈴木 忠

  横浜総合病院外科

書誌事項

タイトル別名

• A CASE OF CHORIOCARCINOMA OF THE SMALL INTESTINE

抄録

A 66-year-old man was seen at the hospital because of tarry stool, when the Hb level was 10.6g/dl and no bleeding lesion was demonstrated on upper gastrointestinal endoscopy. Thereafter anemia progressed and bleeding from the small intestine was confirmed by colonofiberscopy. So laparotomy was performed. A tumor in the small intestine about 30 cm to the terminal ileum was found and partial excision of the small intestine was carried out. The patient's postoperative course was uneventful, but abdominal CT scan disclosed multiple hepatic metastases. Gastric endoscopy showed ulcerative lesion suggestive of metastasis at the pyloric part of the stomach. On histopathological studies, the lesion was positive for human chorionic gonadotropin (HCG) on immunostaining, and choriocarcinoma was diagnosed. Blood HCG level was remarkably elevated. According to chemotherapy for choriocarcinoma of the uterine, chemotherapy with methotrexate, actinomycin D, etoposide, and leucovorin was started. After one course of the chemotherapy, the patient died of liver failure.<br>This rare experience with a case of choriocarcinoma of the small intestine is presented, together with a review of the literature.

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 65 (5), 1297-1301, 2004

  日本臨床外科学会

キーワード

• 絨毛癌
• 小腸

詳細情報

• CRID: 1390001204844068992
• NII論文ID: 10013165676
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.65.1297
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/65/5/65_5_1297/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2004216243
• 本文言語コード: ja
• 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