A Case of Resectable Intra-abdominal Desmoid Tumor after Resection of Ascending Colon Cancer
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- Kawano Youichi
- Department of Surgery, Nippon Medical School
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- Suzuki Hideyuki
- Department of Surgery, Nippon Medical School
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- Matsumoto Satoshi
- Department of Surgery, Nippon Medical School
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- Kan Hayato
- Department of Surgery, Nippon Medical School
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- Tsuruta Hiroyuki
- Department of Surgery, Nippon Medical School
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- Akiya Yukihiro
- Department of Surgery, Nippon Medical School
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- Sasaki Junpei
- Department of Surgery, Nippon Medical School
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- Hotta Masahiro
- Department of Surgery, Nippon Medical School
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- Naito Zenya
- Department of Pathology, Nippon Medical School
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- Tajiri Takashi
- Department of Surgery, Nippon Medical School
Bibliographic Information
- Other Title
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- 上行結腸癌に対する腹腔鏡補助下手術後に発症した腹腔内デスモイド腫瘍の1切除例
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Abstract
Intraabdominal desmoid tumor and cancer recurrence may be difficult to differentiate following intraabdominal cancer surgery. A 70-year-old man being followed up after laparoscopic-assisted ascending colon cancer surgery was indicated in computed tomography (CT) and magnetic resonance imaging (MRI) findings to have recurrent cancer suggested by a tumor in the ventral duodenum adjacent to the previous surgical scar and vascular clip. Positron emission tomography as (PET) CT, however, did not indicate cancer recurrence. Surgery for resecting the tumor together with part of the duodenal and superior mesenteric vein wall 1.5 years after the previous operation showed an isolated 4×4×4 cm hard elastic tumor with a smooth surface and a solid whitish cut surface. Histopathological findings indicated an intraabdominal desmoid tumor originating in the jejunal mesenterium and invading the superior mesenteric vein wall and muscular layer of the duodenum. No signs of recurrence were seen in followup 6 months after surgery. Although, 20 cases of intraabdominal desmoid tumor without familial adenomatous polyposis after intraabdominal surgery have been reported in the Japanese literature, our case would be the first of intraabdominal desmoid tumor without familial adenomatous polyposis after laparoscopic surgery. PET-CT thus proved very useful in differentiating between intraabdominal desmoid tumor and cancer recurrence after intraabdominal cancer surgery.
Journal
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- The Japanese Journal of Gastroenterological Surgery
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The Japanese Journal of Gastroenterological Surgery 43 (1), 95-100, 2010
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
- 1390001204919723136
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- NII Article ID
- 110007503961
- 130004560531
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- NII Book ID
- AN00192066
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- ISSN
- 13489372
- 03869768
- http://id.crossref.org/issn/03869768
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
- KAKEN
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- Abstract License Flag
- Disallowed