PET/CTで虫垂癌を疑いSILSを施行した1例

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  • 高 志剛
    Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
  • 田代 良彦
    Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
  • 永易 希一
    Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
  • 丹羽 浩一郎
    Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
  • 小野 誠吾
    Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
  • 石山 隼
    Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
  • 杉本 起一
    Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
  • 秦 政輝
    Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
  • 神山 博彦
    Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
  • 小見山 博光
    Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
  • 高橋 玄
    Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
  • 柳沼 行宏
    Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
  • 小島 豊
    Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
  • 五藤 倫敏
    Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
  • 田中 真伸
    Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
  • 仙石 博信
    Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
  • 奥澤 淳司
    Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
  • 冨木 裕一
    Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
  • 坂本 一博
    Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
  • アブドカディ イマム
    Department of Humanpathology, Juntendo University Faculty of Medicine

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  • A case of primary appendiceal adenocarcinoma with some interesting PET/CT and SILS findings

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抄録

症例は62歳, 女性で主訴は右下腹部痛.血液検査でCEA とCA19-9 の上昇を認め, CTとMRI検査では骨盤の右側に2.2cm大の腫瘤をみとめた.またPET/CT検査では同部位に強い集積を認め虫垂原発の悪性疾患を疑った.手術はSingle incisonal laparoscopic surgery (SILS) で開始したが虫垂腫瘍が右付属器と回腸末端部に癒着しており, 開腹移行となった.術中迅速病理検査で虫垂癌の右卵管浸潤と診断され, 回盲部切除術を施行した.虫垂原発の悪性疾患の鑑別診断にPET/CTは有用であると考えられた.

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