A Case of Rectal Cancer with Submucosal Invasion, Hens-Egg-Sized Number 251 Lymphnode Metastasis, and a High Level of Serum Carcinoembryonic Antigen.
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- Takeuchi Kunio
- Department of Surgery, Tone Chuoh Hospital
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- Ando Tetsu
- Department of Surgery, Tone Chuoh Hospital
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- Sekihara Masao
- Department of Surgery, Tone Chuoh Hospital
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- Hara Takashi
- Department of Surgery, Tone Chuoh Hospital
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- Yoshikawa Minako
- Department of Surgery, Tone Chuoh Hospital
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- Tsuzuki Yasushi
- Department of Surgery, Tone Chuoh Hospital
Bibliographic Information
- Other Title
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- 血清ＣＥＡ高値，鶏卵大の２５１番リンパ節転移を認めた直腸ｓｍ癌の１例
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Abstract
A 60-year-old male was admitted with melena. Colonoscopy revealed a I sp lesion in the posterior wall of the lower rectum and an SMT-like lesion immediately proximal to it. The serum CEA level was 128.5 ng/ml. Miles operation was performed. The I sp tumor was 25×20 mm in size and the SMT-like lesion was 60×40×30 mm in size. Histological examination of the resected specimen showed that the I sp lesion was a welldifferentiated adenocarcinoma in the mucosal layer, but showed the features of mucinous carcinoma in the submucosal layer. The lymph node metastasis in node number 251 measuring 60×40×30 mm in diameter was a mucinous carcinoma. The findings in this carcinoma with a high propensity for case suggest that mucinous carcinoma is a highly invasive metastasis.
Journal
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- The Japanese Journal of Gastroenterological Surgery
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The Japanese Journal of Gastroenterological Surgery 33 (11), 1849-1853, 2000
The Japanese Society of Gastroenterological Surgery
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Keywords
Details 詳細情報について
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- CRID
- 1390001204915095424
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- NII Article ID
- 130004117267
- 110001340729
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- NII Book ID
- AN00192066
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- ISSN
- 13489372
- 03869768
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed
