こう門よりの腫りゅう脱出で発見された直腸巨大villous tumorの1例

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  • A CASE OF HUGE VILLOUS TUMOR OF THE RECTUM PRESENTED WITH A PROLAPSED TUMOR FROM THE ANUS

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A 65-year-old man was seen at the hospital because of a tumor prolapsed from the anus. He had noticed stools containing blood and a decrease in the body weight since around the summer of 1997, but had not consulted with any physician. Since January 1998, he started to use diapers because stools with mucus and blood persisted. Thereafter a tumor became prolapsed from the anus at defecations, and he was admitted to the hospital with the referral from a physician on February 18, 1998. The prolapsed tumor at defecation was 12cm in size, like cauliflower in shape and soft, from the surface of which exudation of mucus being identified. However, no depletion syndrome including abnormalities in electrodes and dehydration was revealed. And the prolapsed tumor was able to be reduced. With close exploration, villous tumor with possible association of malignancy was diagnosed, and transanal resection was carried out. Histopathological diagnosis was carcinoma in tubulovillous adenoma, with the invasion depth of tumor of m. As of 5 years after operation, no findings of stricture or recurrence have been seen, and the patient is doing well.

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