Ｓｉ（Ａｉ）大腸癌の臨床病理学的検討

• 井上 雄志

  東京女子医科大学消化器病センター外科

• 鈴木 衛

  東京女子医科大学消化器病センター外科

• 手塚 徹

  東京女子医科大学消化器病センター外科

• 高崎 健

  東京女子医科大学消化器病センター外科

書誌事項

タイトル別名

• Analysis of Colorectal Cancer Involving Adjacent Organs.

抄録

One hundred eighty-one patients with colorectal cancer involving adjacent organs (Si, Ai) were studied clinicopathologically. The incidence of Si (Ai) colorectal cancer was 23 % in the cecum, 19 % in the descending colon and, 15 % in the ascednding colon. Sixty-three patients (35 %) were positive for histological invasion of adjacent organs (si, ai). Invasion was predominantly seen in the peritoneum (64 cases) and urinary bladder (39 cases). The incidence of histological invasion was 80 % in the stomach, 60% in the vagina, and 50 % in the colon. The 5-year survival rate in curable A lesions was 72 % and significantly higher than in curable B or C lesions. In patients without liver metastasis, dissemination, and group 4 lymph node metastasis, the 5-year survival rate in patients with no histological invasion to the adjacent organs was 75 %, not significantly different from the rate with si (ai) cancer (69 %), but higher than with histologically positive margins (curable B ; 0 %, curable C ; 0 %). Therefore, it was important to perform aggressive combined resection for histologically negative margins.

収録刊行物

• 日本大腸肛門病学会雑誌

  日本大腸肛門病学会雑誌 52 (4), 293-299, 1999

  日本大腸肛門病学会

キーワード

• Si (Ai) 大腸癌

詳細情報

• CRID: 1390001204856343424
• NII論文ID: 10005043519
• NII書誌ID: AN00195100
• DOI: 10.3862/jcoloproctology.52.293
• ISSN: 18829619
• ISSN: 00471801
• ISSN: http://id.crossref.org/issn/00471801
• Web Site: http://www.jstage.jst.go.jp/article/jcoloproctology1967/52/4/52_4_293/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/1999194218
• 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