Journal of Okayama Medical Association
Published by Okayama Medical Association<Availability>
Full-text articles are available 3 years after publication.
Permalink : http://ousar.lib.okayama-u.ac.jp/55266
家族性大腸腺腫症術後20年後に小腸癌を発症した1例
Sugihara, Yuusaku
Department of Gastroenterology and Hepatology, Okayama University Hospital
Kawano, Seiji
Department of Gastroenterology and Hepatology, Okayama University Hospital
Harada, Keita
Department of Gastroenterological Surgery, Okayama University Hospital
Takashima, Shiho
Department of Gastroenterology and Hepatology, Okayama University Hospital
Takei, Daisuke
Department of Gastroenterological Surgery, Okayama University Hospital
Inokuchi, Toshihiro
Department of Gastroenterology and Hepatology, Okayama University Hospital
Takahara, Masahiro
Department of Gastroenterology and Hepatology, Okayama University Hospital
Hiraoka, Sakiko
Department of Gastroenterology and Hepatology, Okayama University Hospital
Mori, Yoshiko
Division of Endoscopy, Okayama University Hospital
Kishimoto, Hiroyuki
Division of Endoscopy, Okayama University Hospital
Nagasaka, Takeshi
Division of Endoscopy, Okayama University Hospital
Okada, Hiroyuki
Department of Gastroenterology and Hepatology, Okayama University Hospital
Kaken ID
researchmap
Abstract
A 58-year-old Japanese man visited a local clinic for the evaluation of a stomachache. He was diagnosed with intestinal obstruction. His medical history included a proctocolectomy at the age of 38 years, due to familial adenomatous polyposis (FAP). He was referred to our institution, where he underwent a computed tomography examination and endoscopy of the small intestine. The pathological diagnosis was adenocarcinoma. No invasive or metastatic lesions were observed. Therefore, partial resection of the ileum with lymphadenectomy and reconstruction of the ileostomy were performed. Pathological examination revealed that the tumor was type 2, pT3 (SS) , pN1, pPM0, pDM0, pRM0, INFb, ly1, v1, pEX0, PN0. Twenty-nine days after the surgery, the patient was diagnosed with lung metastasis and he underwent lung radiofrequency ablation. We suggest that long-term follow-up is necessary for patients after surgery for FAP, because of the risk of malignant disease developing in other organs.
Keywords
家族性大腸腺腫症 (familial adenomatous polyposis)
小腸癌 (jejunal cancer)
小腸内視鏡検査 (small intestine endoscope)
Note
症例報告 (Case Reports)
ISSN
0030-1558
NCID
AN00032489
DOI