上行結腸癌を合併したvon Recklinghausen病の1例  [in Japanese] A CASE OF VON RECKLINGHAUSEN'S DISEASE ASSOCIATED WITH CANCER OF THE ASCENDING COLON  [in Japanese]

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Abstract

上行結腸癌を合併したvon Recklinghausen病(以下R病)の1例を経験した.症例は51歳男性.前額部裂創にて当科受診時, R病が認められた.精査をした結果, CEAやや高値のため,大腸内視鏡を施行したところ,上行結腸癌(IIc+IIa)が認められ,結腸右半切除術を施行した. R病は,神経線維肉腫,脳神経腫瘍などの神経原生の悪性腫瘍が高頻度に合併することが知られているが,自験例のような上皮性腫瘍の合併例の報告は比較的少ない. R病における消化器癌の発生の因果関係については不明であり,今後症例を重ね,さらなる検討を要すると考える.

A case of von Recklinghausen's disease (VRD) associated with cancer of the ascending colon is reported. A 51-year-old man was admitted to the hospital because of injury to his face.<br> He was found to have VRD. Close examination revealed that the value of CEA was slightly high. Colon fiberscopy revealed ascending colon cancer and a right hemicolectomy was performed. Neurogenic tumors such as neurofibrosarcoma are known to occur frequently in patients with VRD. But, the concurrence of epidermal cancer like in this case is relatively rare. The etiologic relationship between VRD and epidermal cancer had not been elucidated. This is an issue demanding further studies in a large number of cases.

Journal

  • Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

    Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 62(3), 722-725, 2001-03-25

    Japan Surgical Association

References:  9

Cited by:  2

Codes

  • NII Article ID (NAID)
    10008388917
  • NII NACSIS-CAT ID (NCID)
    AA11189709
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    13452843
  • Data Source
    CJP  CJPref  J-STAGE 
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