A Case of Squamous Cell Carcinoma of the Lower Rectum with Simultaneous Intramural Metastasis of the Upper Rectum

• Takahashi T.

  Oncologic Surgery, Gifu University Graduate School of Medicine

• Tokuyama Y.

  Oncologic Surgery, Gifu University Graduate School of Medicine

• Sakashita F.

  Oncologic Surgery, Gifu University Graduate School of Medicine

• Nagao N.

  Oncologic Surgery, Gifu University Graduate School of Medicine

• Yamaguchi K.

  Oncologic Surgery, Gifu University Graduate School of Medicine

• Osada S.

  Oncologic Surgery, Gifu University Graduate School of Medicine

• Araki K.

  Department of Gastroenterology, Gifu University Graduate School of Medicine

• Sugiyama Y.

  Oncologic Surgery, Gifu University Graduate School of Medicine

• Tomida H.

  Oncologic Surgery, Gifu University Graduate School of Medicine Gifu University Hospital, Division of Pathology

• Hirose Y.

  Gifu University Hospital, Division of Pathology

Bibliographic Information

Other Title

• 下部直腸扁平上皮癌が上部直腸に同時性壁内転移をきたした１切除例

Abstract

A 60-year-old woman with bloody stool and narrow feces visited our hospital. The colonoscopy and barium enema revealed two elevated lesions of the rectum, one in the lower rectum (Rb) and one in the upper rectum (Ra). Biopsy specimens suggested that both lesions were squamous cell carcinoma. The Rb tumor was a 2cm type-2, and the Ra tumor was about a 6cm type-1. We performed resection by abdominoperineal resection in August 2005. Histological examination of the specimen of Rb revealed poorly differentiated squamous cell carcinoma: mp, ly2, v2. Histological examination of the Ra specimen revealed similarity to Rb tumor and suggested that the origin of Ra tumor was submucosal. We suggest that squamous cell carcinoma of the lower rectum was the primary carcinoma and that squamous cell carcinoma of the upper rectum at 70mm distant from the cancer of Rb was intramural metastasis from Rb. We report this rare case with lower rectal squamous cell carcinoma (Rb-P) with simultaneous intramural metastasis.<br>

Journal

• Nippon Daicho Komonbyo Gakkai Zasshi

  Nippon Daicho Komonbyo Gakkai Zasshi 61 (1), 33-38, 2008

  The Japan Society of Coloproctology

Keywords

• 直腸癌
• 扁平上皮癌
• 壁内転移

Details

• CRID: 1390001204854198400
• NII Article ID: 10021302726
• NII Book ID: AN00195100
• DOI: 10.3862/jcoloproctology.61.33
• ISSN: 18829619
• ISSN: 00471801
• HANDLE: 20.500.12099/29147
• Web Site: https://gifu-u.repo.nii.ac.jp/records/78496
• Web Site: http://www.jstage.jst.go.jp/article/jcoloproctology/61/1/61_1_33/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2008118569
• Text Lang: ja
• Data Source:
  • JaLC
  • IRDB
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed