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- Maeda Hiromichi
- Cancer Treatment Center, Kochi Medical School Hospital
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- Okamoto Ken
- Cancer Treatment Center, Kochi Medical School Hospital
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- Maehara Haruka
- Hata Ken-min Hospital
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- Namikawa Tsutomu
- Department of Surgery, Kochi Medical School, Kochi University
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- Tamura Satoru
- Tamura Icho-ka Clinic
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- Hiroi Makoto
- Department of diagnostic pathology, Kochi Medical School, Kochi University
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- Hanazaki Kazuhiro
- Department of Surgery, Kochi Medical School, Kochi University
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- Kobayashi Michiya
- Cancer Treatment Center, Kochi Medical School Hospital
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抄録
<p>Villous adenoma accounts for only 1% of adenomas arising from the large intestine. Malignant changes are more common for villous adenoma than for tubular and tubulovillous adenomas. However, preoperative diagnosis of villous adenoma is rare and treatment remains contentious. <br>A 77–year–old woman was referred to Kochi Medical School (KMS) Hospital for treatment of villous adenoma of the appendix. Preoperative abdominal computed tomography (CT) revealed that the tumor was 3 cm in diameter and accompanied by a cystic structure on the distal side. Strong accumulation of fluorodeoxyglucose (FDG) on FDG–positron emission tomography–CT and elevated serum carcinoembryonic antigen concentrations suggested malignant change. Consequently, laparoscopic ileocecal resection with regional lymph node dissection was performed. Pathologically, atypical cells with enlarged nucleus were arranged in the villous structure. <br>Until the minimum surgical intervention is proven safe, when malignant change is likely, surgical resection with lymph node dissection should be considered.</p>
収録刊行物
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- Annals of Cancer Research and Therapy
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Annals of Cancer Research and Therapy 25 (2), 44-47, 2017
日本癌病態治療研究会
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詳細情報 詳細情報について
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- CRID
- 1390282680164806144
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- NII論文ID
- 130005936960
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- ISSN
- 18805469
- 13446835
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可