書誌事項
- タイトル別名
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- A CASE OF VILLOUS TUMOR OF THE RECTUM WITH CANCER CHANGE AND ELECTROLYTE DEPLETION SYNDROME
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A surgically treated case of villous tumor of the rectum is reported. A 58-year old woman was admitted to the hospital because of palpitation and general fatigue. Laboratory examination revealed hypokalemia and severe anemia. Barium enema and colon fiberscopy showed a large soft and cauliflower-shaped tumor occupying the pelvic space. A biopsy of the rectal tumor proved adenocarcinoma. We diagnosed the case as rectal villous tumor followed by cancer change and electrolyte deplesion syndrome (EDS). Although the cancer change of villous tumor occurs in a high rate, the size of tumors do not always reflect the depth of invasion to the rectal wall. So transanal endoscopic microsurgical excision (TEME) or surgical treatment such as local excision or bowl resection is precedentory employed for rectal tumors, except those being clearly suspicious of malignancy. It has been reported, however, that the recurrence rate after TEME or local excision is 17.5-50%, indicating the importance of surgical margin and periodic endoscopic observation of clinical course. In our case, abdominoperineal resection was performed because of its size and location. The postoperative course has been uneventful and EDS has been improved. Postoperative histological findings revealed well differentiated adenocarcinoma in all parts of the villous tumor.
収録刊行物
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- 日本臨床外科学会雑誌
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日本臨床外科学会雑誌 60 (5), 1350-1354, 1999
日本臨床外科学会
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詳細情報 詳細情報について
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- CRID
- 1390001204850814592
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- NII論文ID
- 130003601390
- 10009882753
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- NII書誌ID
- AA11189709
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- ISSN
- 18825133
- 13452843
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可