ID 84165
Title Transcription
ホウシャセン チリョウ ガ コウカテキ デ アッタ チョクチョウナイ ブンピツ サイボウ ガン ノ 1 レイ
Title Alternative
A case of endocrine cell carcinoma of the rectum, which the radiation treatment was effective for
Author
Yuasa, Yasuhiro Department of Surgery, Tokushima Red Cross Hospital
Sakata, Akihiro Department of Surgery, Tokushima Red Cross Hospital
Kimura, Suguru Department of Surgery, Tokushima Red Cross Hospital
Okitsu, Hiroshi Department of Surgery, Tokushima Red Cross Hospital
Ichimori, Toshihiro Department of Surgery, Tokushima Red Cross Hospital
Ishikura, Hisashi Department of Surgery, Tokushima Red Cross Hospital
Shirono, Ryozo Department of Radiology, Tokushima Red Cross Hospital
Fujii, Yoshiyuki Department of Pathology, Tokushima Red Cross Hospital
Keywords
endocrine cell carcinoma
rectal cancer
radiation
Content Type
Journal Article
Description
A 54-year-old woman was seen at the hospital because of anal bleeding.
Colonoscopy examination showed a type 2 tumor in the lower rectum and the histological diagnosis from the biopsy specimen was undifferenciated adenocarcinoma. Abdomino-perineal amputation of the rectum were performed. The resected specimen was positive for synaptophysin stain immunohistochemically and we diagnosed it as an endocrine cell carcinoma. We underwent adjuvant chemotherapy by bolus CPT-11, and the post operative course was uneventful. Intra-pelvic recurrence was observed 15 months after operation, and further 4 months later, metastasis developed around the pancreas. And we noticed the tumor in supraclavicular region 21 months after operation. The tumor was sensitive to chemotherapy, but continued to progress. So we underwent radiotherapy for each lesion. The lesion treated with radiotherapy were controlled until she died of cancer, 31 months after the operation. As a result of autopsy, an exellent effect of radiotherapy was confirmed.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Volume
63
Issue
1-2
Start Page
49
End Page
53
Sort Key
49
Published Date
2007-04-25
Remark
FullText File
language
jpn
departments
Science and Technology
Medical Sciences