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ID 84165
タイトルヨミ
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
タイトル別表記
A case of endocrine cell carcinoma of the rectum, which the radiation treatment was effective for
著者
湯浅, 康弘 徳島赤十字病院外科
阪田, 章聖 徳島赤十字病院外科
木村, 秀 徳島赤十字病院外科
沖津, 宏 徳島赤十字病院外科
石川, 正志 徳島赤十字病院外科
一森, 敏弘 徳島赤十字病院外科
石倉, 久嗣 徳島赤十字病院外科
城野, 良三 徳島赤十字病院放射線科
藤井, 義幸 徳島赤十字病院病理
キーワード
endocrine cell carcinoma
rectal cancer
radiation
資料タイプ
学術雑誌論文
抄録
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.
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
63
1-2
開始ページ
49
終了ページ
53
並び順
49
発行日
2007-04-25
備考
フルテキストファイル
言語
jpn
部局
医学系