胃周囲リンパ節への多発リンパ節転移を契機に発見された横行結腸癌の１例

DOI Web Site 被引用文献2件

書誌事項

タイトル別名
  • A Case Report of Transverse Colon Cancer Showing Multiple Metastases to the Gastric Regional Lymph Nodes

この論文をさがす

抄録

A rare case of transverse colon cancer metastasizing to the multiple gastric regional lymph nodes is reported. An 84-year-old female was admitted to our hospital complaining of anemia and right upper abdominal pain. An abdominal CT revealed enhancing tumor around 6.0×4.5 cm in size abutting to the pylorus of the stomach. Gastroendoscopy showed the submucosal tumor-like lesion on the pylorus and its direct invasion to the duodenum. A colonoscopy revealed a circumferential colon cancer at the hepatic flexure of the transverse colon. Right hemicolectomy and pancreaticoduodenoctomy with distal gastrectomy was performed. Pathological examination revealed T3 colon cancer and multiple metastases to the gastric regional lymph nodes (No.3, 6, 8a, 12a). Especially, pyloric tumor was diagnosed as a metastasis to the infrapyloric lymph node (No. 6) showing direct invasion to the duodenum and pancreas. The point of this case is that no lymph node metastasis was observed in colonic regional lymph nodes such as epicolic, paracolic and middle colic artery lymph node. In the case of right-side colon cancer, metastasis to the gastric regional lymph nodes is extremely rare, yet careful attention should be paid.

収録刊行物

被引用文献 (2)*注記

もっと見る

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ