NBI拡大観察が治療方針決定に有用であった Cronkhite-Canada 症候群の1例  [in Japanese] Usefullness of Narrow Band Imaging (NBI) System with Magnification in Diagnosis and Treatment of Colorectal Adenoma in Patients with Cronkhite-Canada Sindrome : A Case Report  [in Japanese]

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Author(s)

    • 堀井 城一朗 HORII Joichiro
    • 岡山大学大学院 消化器・肝臓内科学 Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
    • 加藤 順 KATO Jun
    • 岡山大学大学院 消化器・肝臓内科学 Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
    • 竹本 浩二 TAKEMOTO Koji
    • 岡山大学大学院 消化器・肝臓内科学 Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
    • 石川 信 ISHIKAWA Shin
    • 岡山大学大学院 消化器・肝臓内科学 Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
    • 東 玲治 HIGASHI Reiji
    • 岡山大学大学院 消化器・肝臓内科学 Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
    • 鈴木 英之 SUZUKI Hideyuki
    • 岡山大学大学院 消化器・肝臓内科学 Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
    • 山本 和秀 YAMAMOTO Kazuhide
    • 岡山大学大学院 消化器・肝臓内科学 Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences

Abstract

症例は62歳,男性.下痢,便潜血陽性精査目的での上・下部消化管内視鏡検査にてポリポーシスを認め,爪甲異常,皮膚色素沈着所見とあわせCronkhite-Canada症候群と診断した.大腸NBI拡大内視鏡観察を行い,腫瘍性の微小血管パターンに着目することで炎症性過形成性ポリポーシスに合併する腺腫の診断が可能であった.色素撒布を必要としないNBI拡大観察にて,効率の良い適切な内視鏡切除が可能であった.

A 62-year-old man with turbid nail, and skin hyperpigmentation was referred for diarrhea, and a positive fecal occult blood test. This patient had received upper GI and colonoscopy which revealed gastric and colorectal polyposis. We, therefore, diagnosed this case as Cronkhite-Canada syndrome (CCS). NBI can clearly visualize the microvascular structure of colorectal tumors and has been reported to be a useful and simple method for differentiating between colorectal neoplastic and non-neoplastic polyps without chromoendoscopy. So we observed multiple colorectal polyps in this CCS patient using NBI colonoscopy with magnification. Use of NBI identified the difference of colorectal adenomas from related inflammatory hyperplastic polyps with CCS. Consequently, we could perform an endoscopic mucosal resection efficiently and appropriately.

Journal

  • GASTROENTEROLOGICAL ENDOSCOPY

    GASTROENTEROLOGICAL ENDOSCOPY 52(1), 64-70, 2010-01-20

    Japan Gastroenterological Endoscopy Society

References:  20

Cited by:  1

Codes

  • NII Article ID (NAID)
    10026909412
  • NII NACSIS-CAT ID (NCID)
    AN00192102
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    03871207
  • Data Source
    CJP  CJPref  J-STAGE 
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