A CASE OF ADENOSQUAMOUS CARCINOMA OF THE TRANSVERSE COLON WITH PARA-AORTIC LYMPH NODE METASTASIS
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- SAKAMOTO Chihiro
- Department of Surgery, Nara Prefectural Nara Hospital
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- ISHIKAWA Hirofumi
- Department of Surgery, Nara Prefectural Nara Hospital
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- MIGITA Kazuhiro
- Department of Surgery, Nara Prefectural Nara Hospital
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- OHYAMA Takao
- Department of Surgery, Nara Prefectural Nara Hospital
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- YAMAMOTO Katsuhiko
- Department of Surgery, Nara Prefectural Nara Hospital
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- WATANABE Akihiko
- Department of Surgery, Nara Prefectural Nara Hospital
Bibliographic Information
- Other Title
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- 傍大動脈リンパ節転移を伴った横行結腸腺扁平上皮癌の１例
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Abstract
A 57-year-old man complaining of right upper abdominal pain was admitted to our hospital. Colonoscopy revealed an unbordered invasive tumor without clear round wall nor ulcer formation, and its biopsy finding was well differentiated adenocarcinoma. Serum level of CEA was elevated to 3300 ng/ml, and abdominal computed tomography showed para-aortic lymph node swelling. An extended transverse colectomy with para-aortic lymph node dissection was performed and histological diagnosis was adenosquamous carcinoma with para-aortic lymph node metastasis (M1). 18 months after surgery he is still being followed by adjuvant chemotherapy and radiation. Primary adenosquamous carcinoma of the colon is rare, and its poor prognosis is reported. The efficacy of chemotherapy or radiation therapy has not been proved, so curative resection is the main treatment to improve prognosis.
Journal
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- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 68 (1), 142-145, 2007
Japan Surgical Association
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Keywords
Details 詳細情報について
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- CRID
- 1390282679824420608
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- NII Article ID
- 130004516324
- 10018716737
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- NII Book ID
- AA11189709
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- ISSN
- 18825133
- 13452843
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed