同時性直腸・食道癌の1例

• 白井 博之

  鳥取生協病院外科

• 竹内 勤

  鳥取生協病院外科

• 奈賀 卓司

  鳥取生協病院外科

• 皆木 真一

  鳥取生協病院外科

• 木村 章彦

  鳥取生協病院外科

• 森 将晏

  岡山県立大学保健福祉学部看護学科

書誌事項

タイトル別名

• A RESECTED CASE OF SYNCHRONOUS DOUBLE CANCER OF THE ESOPHAGUS AND RECTUM

抄録

A 48-year-old man was admitted to the hospital because of fresh anal bleeding and pyrosis.<br>Preoperative examination revealed advanced esophageal cancer (Im, 3'type) and rectal cancer (Rb, 2'type). Under a diagnosis of synchronous double primary cancer of the esophagus and rectum, an operation was performed on one-step approach. A subtotal esophagectomy with lymph node dissection and reconstruction of esophagus by gastric roll was performed, followed by a low anterior resection for the rectal cancer. Postoperative course was uneventful, but pharyngeal, tongue and mediastinal lymph nodes metastases of the esophageal cancer occurred. Radiation and chemotherapy were added, but the patient died 2 years after the operation. Pre-operative laboratory data showed a slight immunodeficient tendency and postoperative immunohistochemical examination revealed genetic arrangement of p 53 cancer suppressed gene in both the esophageal and rectal cancers. It was suggested that carcinogenesis might correlate with immunodeficiency and genetic alteration in synchronous multiple cancer.

収録刊行物

• 日本臨床外科学会雑誌

  日本臨床外科学会雑誌 60 (8), 2246-2250, 1999

  日本臨床外科学会

キーワード

• 同時性重複癌
• 直腸癌
• 食道癌

詳細情報

• CRID: 1390282679828311552
• NII論文ID: 130003601497
• NII論文ID: 10008496574
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.60.2246
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/60/8/60_8_2246/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2000041253
• 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