上行結腸カルチノイド腫瘍の1例

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  • A CASE REPORT OF CARCINOID TUMOR OF THE ASCENDING COLON

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Carcinoid tumor is commonly found in the rectum, stomach and duodenum, and rarely in the colon. Here a case of carcinoid of the ascending colon is described.<br> A 60-year-old woman was admitted to the hospital for further examination of positive fecal occult blood. Barium enema and colonofiberscopy revealed a polypoid lesion in the ascending colon. Biopsy showed Borrmann type 2 carcinoid tumor. Right hemicolectomy wascarried out and a 1.8×1.6cm tumor in the ascending colon was confirmed.<br> Postoperative course was uneventful and thepatient was dischargted on 3rd week after the operation. The patient is doing well eighteen months after the surgery.<br> Forty-four cases seen in the Japanese literature were analyzed. Carcinoids of the colon were commonly in an advanced stage and the therapeutic results were poor. However, 22 cases without metastasis were able to have goodresults and long-term survival can be expected, if the tumor is in a relatively earlystage.

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