大腸癌の副腎転移の1例  [in Japanese] A CASE OF ADRENAL METASTASIS FROM CARCINOMA OF THE COLON  [in Japanese]

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Abstract

比較的稀とされている大腸癌の副腎転移の1例を経験したので文献的考察を加え考察する.症例は42歳,女性でS状結腸癌にてS状結腸切除を行った.病理所見は中分化腺癌, se, n(-)であった.術後5カ月後CEAの上昇がみられ,腹部CT検査で多発性の肝転移と左副腎腫瘍を認めた.大腸癌の肝,副腎転移の診断にて肝右葉切除と肝部分切除および左副腎摘出を行った.副腎腫瘍は7.5×4.Ocmの腫瘍で病理所見で大腸癌からの転移と診断された.術後経過は良好で術後11カ月後の現在再発の所見はない.大腸癌の副腎転移は,他に転移巣があってもコントロール可能であれば切除すべきである.

This paper presents a case of adrenal metastasis of colonic carcinoma, which is relatively rare, together with a review of the literature. A 42-year-old woman underwent a sigmoidectomy for cancer of the sigmoid colon. Pathological findings showed moderately differentiated adenocarcinoma se, n(-). Five months after the operation, CEA level increased. Abdominal CT scan revealed multiple liver metastases and a left adrenal tumor.<br> We performed a right lobectomy, a partial resection of the liver tumor and a left adrenectomy under a diagnosis of metastatic tumor from the colon cancer. The adrenal tumor was 7.5×4.0cm in size. Histologically, it was diagnosed as metastasis from the colon cancer. Postoperative course was uneventful and she has been well without evidence of the disease for about eleven months. The metastatic adrenal tumor from colon cancer should be excised, if other metastatic lesions are well controlled.

Journal

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

    Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 63(5), 1254-1257, 2002-05-25

    Japan Surgical Association

References:  18

Cited by:  4

Codes

  • NII Article ID (NAID)
    10008913294
  • 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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