ホーム    参加機関ログイン    English    琉球大学附属図書館    琉球大学    問合せ

沖縄地域学リポジトリ >
琉球医学会 >
琉球医学会誌 >

このアイテムの引用には次の識別子を使用してください: http://hdl.handle.net/20.500.12001/21710

 
タイトル :[症例報告]多重大腸癌を併発した臍転移を伴う重複小腸癌の1例
別言語のタイトル :[CASE REPORT]A case of primary cancer of the small intestine with an umbilical metastasis, associated with synchronous multiple colorectal cancer
著者 :伊禮, 靖苗
金城, 達也
佐村, 博範
西垣, 大志
金城, 章吾
西巻, 正
別言語の著者 :Irei, Yasue
Kinjo, Tatsuya
Samura, Hironori
Nishigaki, Taishi
Kinjo, Shogo
Nishimaki, Tadashi
著者所属 :Department of Digestive and General Surgery, Graduate School of Medicine
Department of Digestive and General Surgery, Graduate School of Medicine
Department of Digestive and General Surgery, Graduate School of Medicine
Department of Digestive and General Surgery, Graduate School of Medicine
Department of Digestive and General Surgery, Graduate School of Medicine
Department of Digestive and General Surgery, Graduate School of Medicine
Department of Digestive and General Surgery, Graduate School of Medicine
作成日 :2015-12
公開者・出版者 :琉球医学会
収録種別 :雑誌掲載論文
NIIタイプ :Journal Article
ISSN :1346-888X
内容記述 :A 49-year-old man was admitted to hospital because of abdominal pain. A 67×55mm tumor in the small intestine and a 15×13mm umbilical nodule were detected on computed tomography (CT) scans. The small bowel series showed an irregularity of the surface of the tumor, but a balloon endoscopy failed to detect the tumor in the small intestine. In addition, colonoscopy revealed an 25×25mm rectal tumor, type0-Ⅰs, with uneven surface. The rectal tumor seemed to be a submucosal (SM) invasion. The resection of the small intestine and the umbilical nodule preceded the treatment of the rectal tumor because of his severe symptom of bowel obstruction. Histopathological examination and immunohistochemistry showed moderately differentiated tubular adenocarcinoma and cytokeratin (CK) 7 positive cells in small intestinal tumor. These findings revealed the diagnosis of adenocarcinoma of the small intestine with an umbilical metastasis. Adjuvant chemotherapy (mFOLFOX6) was administered after the surgery because adenocarcinoma of the small intestine seemed a poor prognosis. Repeated colonoscopy disclosed other early cancers in the cecum and ascending colon before surgery for the rectal cancer. A right hemicolectomy and a low anterior resection were performed. We reported a case of double primary cancers of small intestine with an umbilical metastasis and multiple colorectal cancer, and reviewed previous literatures.
権利 :琉球医学会
URI :http://hdl.handle.net/20.500.12001/21710
掲載雑誌 :琉球医学会誌 = Ryukyu Medical Journal Vol.34 no.1・2 p.53 -58
出現コレクション:琉球医学会誌

登録ファイル

ファイル 記述 サイズフォーマット
v34p53.pdf740KbAdobe PDF見る/開く