両側卵巣転移をきたした神経内分泌細胞を伴う直腸腺癌の１切除例

• 猪狩 公宏

  太田西ノ内病院外科

• 松山 貴俊

  太田西ノ内病院外科

• 飯田 道夫

  太田西ノ内病院外科

• 熊谷 洋一

  太田西ノ内病院外科

• 山崎 繁

  太田西ノ内病院外科

書誌事項

タイトル別名

• A CASE OF BILATERAL OVARIAN METASTASIS FROM RECTAL ADENOCARCINOMA WITH NEUROENDOCRINE DIFFERENTIATION

抄録

Ovarian metastasis is a comparatively rare mode of metastasis for rectal carcinoma. The patient was a 75-year-old woman complaining of lower abdominal pain and constipation. She was diagnosed as having bilateral ovarian metastasis from rectal carcinoma and underwent a Hartmann operation. Since she had bilateral ovarian metastasis and omental and peritoneal dissemination, P3 Stage IV was diagnosed. While most ovarian metastases from rectal carcinoma show a histological type of moderately or well differentiated adenocarcinoma, this tumor in this case had components of neuroemdocrine tumor which were positive for synaptophysin, NSE, and chromogranin. Moderately differentiated adenocarcinoma with neuroendocrine differenatiation was thus diagnosed. Ovarian metastasis of rectal carcinoma often develops peritoneal dissemination when it is detected, and neuroendocrine cell carcinoma has poor prognosis compared to adenocarcinoma. From these facts, it is considered that the patient might have a poorest prognosis in terms of its mode of metastasis and histological type.

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 67 (12), 2892-2896, 2006

  日本臨床外科学会

キーワード

• 大腸癌
• 卵巣転移

詳細情報

• CRID: 1390282679826289664
• NII論文ID: 130003604847
• NII論文ID: 10018817791
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.67.2892
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/67/12/67_12_2892/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2007111012
• 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