直腸内分泌細胞癌の１切除例

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  • A Case of Endocrine Cell Carcinoma of the Rectum

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A 43-year-old-man seen for lower abdominal pain and frequent diarrehea was found in colonofiberscopy, to have a large circumferential tumor of the rectum. Biopsy showed endocrine cell carcinoma (ECC) necessitating anterior resection with lymphadenectomy. He was, however, diagnosed with local recurrence 14 months after surgery. ECC often occurs in the rectum, has greater malignant potential in lymphatic, vascular, and liver metastasis, and presents the very dismal prognosis of postoperative death 1 year. Surgery alone thus does not appear sufficient, although the condition is rare and requires further study.

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