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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/20.500.12001/23666

 
タイトル :Metastatic rectal carcinoma from endometrial adenocarcinoma : a case report and review of the Japanese cases
著者 :Teruya, Tsuyoshi
Nakachi, Atsushi
Doi, Shoko
Maehama, Toshiyuki
Kiyuna, Masaya
著者所属 :Department of Surgery, Tomishiro Central Hospital
Department of Obstetrics and Gynecology, Tomishiro Central Hospital
Department of Pathology, Tomishiro Central Hospital
作成日 :2017-12
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 :We report a rare case of metastatic rectal carcinoma from endometrial adenocarcinoma , and review the Japanese cases. A 61-year-old woman underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy and pelvic lymphadenectomy for endometrial adenocarcinoma and metastatic ovarian tumors. Four years later, a follow-up examination using positron emission tomography-computed tomography revealed a rectal tumor with high 18F-fluorodeoxyglucose accumulation. Colonoscopy subsequently revealed a submucosal tumor on the rectum, and the biopsy specimen revealed adenocarcinoma. As the distant metastasis was not recognized at the other examinations, we performed surgical resection of the rectal tumor. Pathological examination of the resected specimen revealed that the tumor was endometrioid adenocarcinoma with squamous differentiation with positive immunohistochemical staining for cytokeratin 7 and negative staining for cytokeratin 20 and CD10, positive for estrogen receptor and progesterone receptor. These findings suggest that the rectal tumor was metastasis from the endometrial adenocarcinoma. We should follow-up for gynecological lesions with that possibility in mind, and the resection of metastatic colorectal carcinoma can help to improve the prognosis which should be considered in similar cases.
権利 :琉球医学会
URI :http://hdl.handle.net/20.500.12001/23666
掲載雑誌 :琉球医学会誌 = Ryukyu Medical Journal Vol.36 no.1-2 p.29 -36
出現コレクション:琉球医学会誌

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