A Case of Sigmoid Colon Cancer Probably Originated from a Diverticulum
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- ARAKAWA Takuya
- Department of Gastroenterological Surgery, Japanese Red Cross Nagoya Daiichi Hospital
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- MIYAKE Hideo
- Department of Gastroenterological Surgery, Japanese Red Cross Nagoya Daiichi Hospital
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- NAGAI Hidemasa
- Department of Gastroenterological Surgery, Japanese Red Cross Nagoya Daiichi Hospital
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- YOSHIOKA Yuichiro
- Department of Gastroenterological Surgery, Japanese Red Cross Nagoya Daiichi Hospital
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- SHIBATA Kouji
- Department of Gastroenterological Surgery, Japanese Red Cross Nagoya Daiichi Hospital
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- YUASA Norihiro
- Department of Gastroenterological Surgery, Japanese Red Cross Nagoya Daiichi Hospital
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- FUJINO Masahiko
- Department of Pathology, Japanese Red Cross Nagoya Daiichi Hospital
Bibliographic Information
- Other Title
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- 憩室内から発生したと思われるS状結腸癌の1例
- ケイ シツナイ カラ ハッセイ シタ ト オモワレル Sジョウ ケッチョウ ガン ノ 1レイ
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Abstract
<p>A 64-year-old man presented to our hospital because of a positive fecal occult blood test result at a medical checkup. A colonoscopy showed edematous stenosis without a tumorous lesion in the sigmoid colon. A CT scan showed a low-density mass containing air bubbles in the sigmoid colon. MRI showed the mass to be isointensity as muscle in T1-weighted images, a slightly higher intensity than muscle in T2-weighted images, and a higher intensity in Diffusion-weighted images. FDG-PET showed an abnormally high accumulation of FDG in the sigmoid mass. Thus, sigmoid colectomy with D3 lymphadenectomy was performed on the diagnosis of suspicious sigmoid colon cancer. Histological examination showed mucinous carcinoma invading the subserosal layer of the sigmoid colon (pT3, N0, M0, Stage II), and carcinoma in situ in a sigmoid diverticulum, suggesting that the carcinoma might have originated from the diverticulum. Considering the aging of the general population and lifestyle changes in Japan, we should pay attention to the risk of developing cancer from diverticula of the left colon.</p>
Journal
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- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 83 (1), 117-122, 2022
Japan Surgical Association
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Keywords
Details 詳細情報について
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- CRID
- 1390292936928619264
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- NII Article ID
- 40022823269
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- NII Book ID
- AA11189709
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- ISSN
- 18825133
- 13452843
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- NDL BIB ID
- 031985099
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed