術後4年9カ月目に腹壁転移をきたした胃癌の1例 A CASE OF ABDOMINAL WALL METASTASIS 4 YEARS 10 MONTHS AFTER GASTRIC CANCER OPERATION

この論文にアクセスする

この論文をさがす

著者

抄録

症例は68歳,女性. 2000年5月に胃癌のため当科にて胃全摘,膵尾部脾合併切除術を施行した.病理診断はtub1, mp, INFβ, ly1, v0, n1, stage IIであった.術後はUFT-E顆粒300mg/日1年間内服した. 2005年2月に右側腹部腫瘤を自覚し近医受診. CA19-9が57U/ml (<37)と軽度上昇し,腹部超音波で右側腹壁に腫瘤が認められ,精査加療目的で当科紹介となった.初回手術時のWinslow孔に留置したドレーン挿入部より約5cm離れた右側腹壁に径約3.5cmの腫瘤を触知した.腹部超音波・CTでも同部に径約3.5cmの腫瘤を認め,胃癌の腹壁転移と診断し,局麻下に腫瘤摘出術を行った.病理組織では胃癌の血行性腹壁転移と診断された. tub1, mp胃癌の術後比較的長期経過後に腹壁に血行性転移をきたすことは稀で,若干の文献的,病理組織学的考察を加えて報告する.

A 68-year-old female underwent total gastrectomy with pancreatosplenectomy due to gastric cancer in June 2001. The pathological diagnosis was tub1, mp, INFβ, ly1, v0, n1, stage II. In February 2005 she noticed a painless tumor on the right lateroabdominal wall, and an abdominal tumor was recognized by abdominal US. Her serum CA19-9 level was found to be elevated to 57U/ml (<37) at a nearby hospital where abdominal US and CT scan revealed a tumor in the right abdomen wall. She was then referred to our hospital for additional detailed examinations. A tumor about 3.5cm in diameter was palpable in the right lateroabdominal wall, approximately 5cm away from where a drain had been placed in the foramen of Winslow in an earlier operation. Based on a diagnosis of metastasis from gastric cancer, we resected the tumor with sufficient margin and diagnosed it as a hematogenous metastasis from gastric cancer histologically. We report this rare case, together with some histopathological comments.

収録刊行物

  • 日本臨床外科学会雑誌 = The journal of the Japan Surgical Association  

    日本臨床外科学会雑誌 = The journal of the Japan Surgical Association 67(8), 1781-1784, 2006-08-25 

    Japan Surgical Association

参考文献:  18件

参考文献を見るにはログインが必要です。ユーザIDをお持ちでない方は新規登録してください。

各種コード

  • NII論文ID(NAID)
    10018785343
  • NII書誌ID(NCID)
    AA11189709
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    13452843
  • データ提供元
    CJP書誌  J-STAGE 
ページトップへ