特異な形態を呈した若年者大腸癌の1例

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  • A CASE OF COLON CANCER IN A YOUNG ADULT PRESENTING IN AN UNPRECEDENTED FORM

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We report a case of colon cancer in a 26-year-old woman presenting in an unprecedented form. The patient was admitted to the hospital because of ileus. The transverse colon was completely obstructed. We inserted an ileus-tube and reduced the intestinal pressure. After neoadjuvant chemotherapy, we performed a curative operation. Macroscopically, the length of the obstructed portion was 5mm and there were no elevated or ulcerative lesions. Microscopically, there was well differentiated adenocarcinoma in a narrow extent of mucosa, but cancer cells widely invaded the subserosa. It is possible to be the originating case in hereditary nonpolyposis colorectal cancer (HNPCC).

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