Transverse Colnic Cancer with Lymph Node Metastasis of Hepatic Hilus Diagnosed by Preoperative Biopsy via an Endoscopic Ultrasound. A Case Report.

• KOSHIKAWA Katsumi

  Second Department of Surgery, Nagoya University School of Medicine

• KANEKO Tetsuya

  Second Department of Surgery, Nagoya University School of Medicine

• TAKEDA Shin

  Second Department of Surgery, Nagoya University School of Medicine

• KOJIMA Nobuya

  Second Department of Internal Medicine, Nagoya University School of Medicine

• HIROOKA Yoshiki

  Second Department of Internal Medicine, Nagoya University School of Medicine

• NAKAO Akimasa

  Second Department of Surgery, Nagoya University School of Medicine

Bibliographic Information

Other Title

• 術前ＥＵＳ下生検が有用であった横行結腸癌肝門部リンパ節転移の１例

Abstract

A rare case of transverse colonic cancer with lymph node metastasis of the hepatic hilus is reported. A 78-year-old woman was admitted for a tumor at the hepatic hilus detected by US examination. Imaging studies suggested a diagnosis, but not definitively, of a tumor derived from lymphatic or mesenchymal tissues of the hepatoduodenal ligament. Therefore, she underwent a preoperative biopsy by endoscopic ultrasound. Although the tumor biopsy specimen consisted of adenocarcinoma, no other obvious findings were observed in the gastrointestinal tract and her ovaries, except a small tumor in the transverse colon. Laparotomy findings disclosed the hard round mass at the hepatic hilus and lymph node metastasis in the mesocolon, and a transverse colectomy with lymph node resection was performed. Histopathologically, the tumor revealed lymph node metastasis of the transverse colonic cancer.<br> Transverse colonic cancer with lymph node metastasis to the hepatic hilus is extremely rare, and preoperative biopsy via endoscopic ultrasound was useful in determining in this case.

Journal

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

  Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 61 (8), 2154-2158, 2000

  Japan Surgical Association

Keywords

• 横行結腸癌
• 肝門部リンパ節転移
• EUS下生検

Details

• CRID: 1390001204843887488
• NII Article ID: 130003602053
• NII Article ID: 10008503772
• NII Book ID: AA11189709
• DOI: 10.3919/jjsa.61.2154
• ISSN: 18825133
• ISSN: 13452843
• ISSN: http://id.crossref.org/issn/13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/61/8/61_8_2154/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2001029405
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed