A Case of Endopelvic Tumor that was Difficult to Differentiate from Rectal Cancer

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  • 腸管子宮内膜症より発生した類内膜腺癌の1例

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Abstract

We report a case of endometrioid adenocarcinoma arising from rectal endometriosis. A female in her fifties was admitted for the chief complaint of lower abdominal pain and anal pain in January 2009. Colonoscopy revealed an edematous change in the rectosigmoid. CT examination of the abdomen revealed an enhanced tumor in the rectum. Because of occlusive ileus, low anterior resection was performed in March 2009. The tumor was located in the serosa side. Histologically, we diagnosed endometrial adenocarcinoma arising in the endometriosis of the rectum; endometriosis was noted around the tumor located in the rectal wall. After the operation, DJ therapy was carried out. Forty-three months postoperatively the patient's condition remains good and there are no signs of tumor recurrence. We report this case of endometrial adenocarcinoma arising from endometriosis of the rectum.

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