書誌事項
- タイトル別名
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- A CASE OF SIGMOID COLON CANCER WITH EXTRAMURAL DEVELOPMENT
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It is uncommon that colorectal cancer grows extramurally. We report a case of sigmoid colon cancer with extramural development.<br>A 70-year-old man was seen at the hospital because of left lower abdominal pain. A fist-sized, elastic-hard tumor was palpated in the left lower quadrant of abdomen, and close exploration was carried out. Abdominal echography and CT scan showed a tumor with the size of about 5cm which was on the mesentery side of the colon and adjacent to the colon. Barium enema study revealed apple core sign in the sigmoid colon. Endoscopy showed a type 2 tumor, and a biopsy resulted in well differentiated adenocarcinoma. The patient was operated on with the most likely diagnosis of colonic cancer with extramural development. At surgery, a fist-sized tumor extending from the sigmoid colon to mesentery was present. Sigmoidectomy was performed. On the removed specimen, the 6.0×4.5×4.0cm tumor extending from the colon to mesentery was identified and a 3.5×7.0cm tumor of type 2 was present on the surface of mucosa. On section we observed that the colonic tumor had invaded toward the mesentery to form extramurally growing mass. Histopathological dianosis was moderately differentiated adenocarcinoma, with the depth of the tumor invasion of si, ly2, v1, and n1(+).
収録刊行物
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- 日本臨床外科学会雑誌
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日本臨床外科学会雑誌 66 (1), 120-123, 2005
日本臨床外科学会
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詳細情報 詳細情報について
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- CRID
- 1390001204848070528
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- NII論文ID
- 130003604242
- 10014391696
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- NII書誌ID
- AA11189709
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- ISSN
- 18825133
- 13452843
- http://id.crossref.org/issn/13452843
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可
