大腸癌を重複した回腸癌の1例

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  • A CASE OF SYNCHRONOUS CANCER OF THE ILEUM AND CECUM

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A 73-year-old man reporting abdominal pain was found in abdominal computed tomography (CT) to have a tumorous lesion of the terminal ileum and in barium enema to have a small tumor about 2 cm in diameter of the cecum. His symptoms worsened and he was admitted for ileus. The radiological enteroclysis showed severe stenosis of the terminal ileum, suggesting ileal cancer. Ileocecal resection was done without regional lymph node dissection because of peritoneal dissemination. The histological diagnosis was moderately differentiated adenocarcinoma of the ileum and well-differentiated adenocarcinoma of the colon, presumably synchronous. He is currently undergoing TS-1 treatment and has survived 1 year since surgery.

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