岡山医学会雑誌
Online ISSN : 1882-4528
Print ISSN : 0030-1558
症例報告
壁外性に腫瘤を形成し胃・小腸浸潤を示した横行結腸癌の1例
濱野 亮輔大塚 眞哉木村 裕司西江 学徳永 尚之宮宗 秀明常光 洋輔稲垣 優岩川 和秀岩垣 博巳
著者情報
キーワード: 大腸癌, 壁外性発育
ジャーナル フリー

2010 年 122 巻 3 号 p. 231-236

詳細
抄録

A 77-year-old woman was admitted to our hospital due to abdominal pain and body weight loss. A palpable mass the size of an infant's head was tender on palpation and identified as an epigastric lesion. Colonoscopic examination revealed stenosis of the transverse colon, although no intraluminal growth of the tumor was found. The histologic findings of the biopsy material were poorly differentiated and/or undifferentiated cells. Abdominal CT scan showed an irregular-shaped tumor with a diameter of 10cm invading the stomach and jejunum. We performed an operation under a diagnosis of extramurally growing cancer or malignant lymphoma of the colon. Partial resection of the transverse colon was done by distal gastrectomy and partial resection of the jejunum. Histologic examination of the operative specimens revealed moderately differentiated adenocarcinoma of the transverse colon, prominently proliferating into the surrounding tissues. The finding of a long stenotic lesion and extramural compression by colonography are characteristic of this tumor, based on a review of 43 literature reports in Japan.

著者関連情報
© 2010 岡山医学会
前の記事 次の記事
feedback
Top