Title Alternative Giant rectal gastrointestinal stromal tumor successfully resected by abdominoperineal resection combined with posterior vaginal wall resection
FullText URL 126_217.pdf
Author Iwakawa, Kazuhide| Nishie, Manabu| Tokunaga, Naoyuki| Miyaso, Hideaki| Iwagaki, Hiromi|
Abstract We report a case of giant rectal gastrointestinal stromal tumor (GIST) successfully resected by abdominoperineal resection combined with posterior vaginal wall resection. Our patient was a 79-year-old woman had been diagnosed as having von Recklinghausen disease at the age of 30 years. In 2006, a computed tomography (CT) scan revealed a tumor originating from the posterior wall of the rectum. In June 2010, she was admitted to our hospital with the chief complaint of bloody stool. A CT scan revealed a giant tumor that had increased to 9cm in size. Colonoscopy demonstrated a submucosal tumor, which was subsequently diagnosed by biopsy as a GIST. Due to the patient's continuous bleeding and abdominal pain, an emergent abdominoperineal resection was performed at that time. The tumor, which measured 8×9cm, was immunohistochemically positive for c-kit and CD34. Concomitant resection of the posterior wall of the vagina via the perineal approach provided a wide area to expose the tumor for a safe operation. The patient has been well with no sign of recurrence since the operation. This procedure is recommended as a useful approach for giant rectal GISTs or rectal cancer with invasion of the posterior pelvic wall.
Keywords 巨大直腸GIST(giant rectal GIST) 腹会陰式直腸切断術(abdominoperineal resection)
Publication Title 岡山医学会雑誌
Published Date 2014-12-01
Volume volume126
Issue issue3
Start Page 217
End Page 221
ISSN 0030-1558
language 日本語
Copyright Holders Copyright (c) 2014 岡山医学会
File Version publisher
DOI 10.4044/joma.126.217
NAID 130004903245
Author Otsuka, Shinya| Inagaki, Masaru| Isoda, Kenta| Kitada, Kouji| Hamano, Ryousuke| Nishie, Manabu| Tokunaga, Naoyuki| Tsunemitsu, Yousuke| Iwakawa, Kazuhide| Iwagaki, Hiromi|
Published Date 2013-08-01
Publication Title 岡山医学会雑誌
Volume volume125
Issue issue2
Content Type Journal Article
Author Kimura, Yuji| Iwakawa, Kazuhide| Nishie, Manabu| Inagaki, Masaru| Iwagaki, Hiromi|
Published Date 2012-08-01
Publication Title 岡山医学会雑誌
Volume volume124
Issue issue2
Content Type Journal Article
Author Hamano, Ryosuke| Inagaki, Masaru| Kimura, Yuuji| Isoda, Kenta| Kitada, Koji| Nishie, Manabu| Nomura, Nagahisa| Tokunaga, Naoyuki| Takahashi, Kenji| Miyasou, Hideaki| Tsunemitsu, Yosuke| Ohtsuka, Shinya| Miyoshi, Kazuya| Iwakawa, Kazuhide| Takahashi, Masahiko| Iwagaki, Hiromi|
Published Date 2012-04-01
Publication Title 岡山医学会雑誌
Volume volume124
Issue issue1
Content Type Journal Article
Author Miyasou, Hideaki| Iwakawa, Kazuhide| Inagaki, Masaru| Kimura, Yuuji| Nishie, Manabu| Hamano, Ryousuke| Tokunaga, Naoyuki| Tunemitsu, Yousuke| Otsuka, Shinya| Iwagaki, Hiromi|
Published Date 2012-04-01
Publication Title 岡山医学会雑誌
Volume volume124
Issue issue1
Content Type Journal Article
Author Nishie, Manabu| Iwakawa, Kazuhide| Hamano, Ryousuke| Tokunaga, Naoyuki| Tunemitsu, Yousuke| Ootsuka, Shinya| Inagaki, Masaru| Iwagaki, Hiromi| Goubaru, Tomohiro| Fujita, Isao| Murakami, Takako| Tomoda, Jun|
Published Date 2011-08-01
Publication Title 岡山医学会雑誌
Volume volume123
Issue issue2
Content Type Journal Article
Author Hamano, Ryosuke| Otsuka, Shinya| Kimura, Yuuji| Nishie, Manabu| Tokunaga, Naoyuki| Miyasou, Hideaki| Tsunemitu, Yousuke| Inagaki, Masaru| Iwakawa, Kazuhide| Iwagaki, Hiromi|
Published Date 2010-12-01
Publication Title 岡山医学会雑誌
Volume volume122
Issue issue3
Content Type Journal Article
Author Hamano, Ryosuke| Inagaki, Masaru| Nishie, Manabu| Tokunaga, Naoyuki| Tsunemitsu, Yosuke| Ohtsuka, Shinya| Iwakawa, Kazuhide| Iwagaki, Hiromi| Sonobe, Hiroshi|
Published Date 2010-08-02
Publication Title 岡山医学会雑誌
Volume volume122
Issue issue2
Content Type Journal Article
Author Hamano, Ryousuke| Otsuka, Shinya| Nishie, Manabu| Nomura, Tsunehisa| Tokunaga, Naoyuki| Miyasou, Hideaki| Takahashi, Kenji| Tsunemitsu, Yousuke| Miyoshi, Kazuya| Inagaki, Masaru| Iwakawa, Kazuhide| Takahashi, Masahiko| Iwagaki, Hiromi|
Published Date 2010-08-02
Publication Title 岡山医学会雑誌
Volume volume122
Issue issue2
Content Type Journal Article
Author Hamano, Ryosuke| Inagaki, Masaru| Nishie, Manabu| Tokunaga, Naoyuki| Tsunemitsu, Yosuke| Ohtsuka, Shinya| Iwakawa, Kazuhide| Iwagaki, Hiromi| Sonobe, Hiroshi|
Published Date 2010-04-01
Publication Title 岡山医学会雑誌
Volume volume122
Issue issue1
Content Type Journal Article
Author Hamano, Ryosuke| Ohtsuka, Shinya| Fujii, Sayaka| Nishie, Manabu| Tokunaga, Naoyuki| Tsunemitsu, Yosuke| Iwakawa, Kazuhide| Inagaki, Masaru| Ohsaki, Toshihide| Iwagaki, Hiromi|
Published Date 2009-12-01
Publication Title 岡山医学会雑誌
Volume volume121
Issue issue3
Content Type Journal Article