同時性6多発大腸癌の1切除例

DOI Web Site Web Site 参考文献8件
  • 武田 幸樹
    立正佼成会附属佼成病院外科 日本医科大学外科学（消化器外科学）
  • 土屋 喜一
    立正佼成会附属佼成病院外科 日本医科大学外科学（消化器外科学）
  • 高田 英志
    立正佼成会附属佼成病院外科 日本医科大学外科学（消化器外科学）
  • 二階堂 孝
    立正佼成会附属佼成病院病理科
  • 秋丸 琥甫
    立正佼成会附属佼成病院外科 日本医科大学外科学（消化器外科学）
  • 内田 英二
    日本医科大学外科学（消化器外科学）

書誌事項

タイトル別名
  • A Case of Six Synchronous Primary Colorectal Cancers
  • 症例報告 同時性6多発大腸癌の1切除例
  • ショウレイ ホウコク ドウジセイ 6 タハツ ダイチョウガン ノ 1 セツジョレイ

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抄録

We report here a very rare case of six synchronous primary colorectal cancers. A 78-year-old male was admitted to our department for further examinations and treatment of rectal bleeding, anemia and general fatigue. Colonoscopy revealed an ulcerative and localized type tumor in the rectosigmoid. The tumor obstructed the lumen, and further observation of the oral side was not possible. The patient was preoperatively diagnosed as rectosigmoid cancer, and was operated. Besides the preoperatively diagnosed cancer, three tumors were detected in the sigmoid, descending and transverse colons, respectively. Subtotal colectomy was performed. Pathological examination revealed a total of six cancers. Such as in this case, advanced cancer of the distal colon sometimes prevents accurate diagnosis of the coexisting tumor in the proximal portion. Therefore, in this condition, we believe that careful palpation during the operation and intraoperative colonoscopy will contribute to accurate diagnosis and improving the prognosis of patients with synchronous multiple primary colorectal cancers.<br>

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