ID 110191
Title Transcription
キョダイ チョクチョウ gastrointestinal stromal tumor(GIST) ノ 1セツジョレイ
Title Alternative
A case of giant gastrointestinal stromal tumor of the rectum
Author
Kanemura, Hirofumi Department of Surgery, Tokushima Municipal Hospital
Wada, Daisuke Department of Surgery, Tokushima Municipal Hospital
Nakao, Toshihiro Department of Surgery, Tokushima Municipal Hospital KAKEN Search Researchers
Nakagawa, Yasushi Department of Surgery, Tokushima Municipal Hospital KAKEN Search Researchers
Hino, Naoki Department of Surgery, Tokushima Municipal Hospital
Miyake, Hidenori Department of Surgery, Tokushima Municipal Hospital
Yamasaki, Shinichi Department of Surgery, Tokushima Municipal Hospital
Fukumoto, Tsuneo Department of Surgery, Tokushima Municipal Hospital
Sounaka, Yasuhide Department of Surgery, Tokushima Municipal Hospital
Shimada, Mitsuo Department of Digestive and Pediatric Surgery, Institute of Health Biosciences, The University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Tsuyuguchi, Masaru Department of Surgery, Tokushima Municipal Hospital
Keywords
gastrointestinal stromal tumor
rectum
c-kit
Content Type
Journal Article
Description
A 75-year old woman, complaining of prolapse of the uterus, was detected a giant tumor in therectum by abdominal CT scan. Enhanced CT revealed a heterogeneous mass in the pelvic cavitymeasuring 8 cm. MRI demonstrated a mass in the rectovaginal seputum, showing heterogeneoushigh intensity on T1 and T2 weighed image. Abdominoperineal excision of the rectum was performed.Macroscopically, the resected specimen showed a solid tumor with central hemorrhagicnecrosis, 10×5 cm in size. Histological examination showed fascicular proliferated spindle-shapedcells invaded to subserosa. Immunohistochemical studies showed a GIST of the rectum withpositive staining for c-kit and CD34, and negative staining for α-SMA, S-100 protein. No evidenceof recurrence has been found in the 2 years since. We report a case of giant GIST of the rectum.Because the risk of the recurrence depends on operation curability adequate resection margin isneeded for surgical approach for GIST.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
63
Issue
3-4
Start Page
153
End Page
156
Sort Key
153
Published Date
2007-08-25
FullText File
language
jpn
TextVersion
Publisher
departments
Medical Sciences
University Hospital