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Title Alternative
A case of transverse colon cancer with remarkable extramural invasion to stomach and jejunum
Author
Hamano, Ryosuke
Otsuka, Shinya
Kimura, Yuuji
Nishie, Manabu
Tokunaga, Naoyuki
Miyasou, Hideaki
Tsunemitu, Yousuke
Inagaki, Masaru
Iwakawa, Kazuhide
Iwagaki, Hiromi
Abstract
A 77-year-old woman was admitted to our hospital due to abdominal pain and body weight loss. A palpable mass the size of an infant's head was tender on palpation and identified as an epigastric lesion. Colonoscopic examination revealed stenosis of the transverse colon, although no intraluminal growth of the tumor was found. The histologic findings of the biopsy material were poorly differentiated and/or undifferentiated cells. Abdominal CT scan showed an irregular-shaped tumor with a diameter of 10cm invading the stomach and jejunum. We performed an operation under a diagnosis of extramurally growing cancer or malignant lymphoma of the colon. Partial resection of the transverse colon was done by distal gastrectomy and partial resection of the jejunum. Histologic examination of the operative specimens revealed moderately differentiated adenocarcinoma of the transverse colon, prominently proliferating into the surrounding tissues. The finding of a long stenotic lesion and extramural compression by colonography are characteristic of this tumor, based on a review of 43 literature reports in Japan.
Keywords
大腸癌 (colon cancer)
壁外性発育 (extraluminal growth)
Note
症例報告 (Case Report)
Published Date
2010-12-01
Publication Title
岡山医学会雑誌
Publication Title Alternative
Journal of Okayama Medical Association
Volume
volume122
Issue
issue3
Publisher
岡山医学会
Publisher Alternative
Okayama Medical Association
Start Page
231
End Page
236
ISSN
0030-1558
NCID
AN00032489
Content Type
Journal Article
Related Url
http://www.okayama-u.ac.jp/user/oma/
language
日本語
Copyright Holders
Copyright (c) 2010 岡山医学会
File Version
publisher
Refereed
True
DOI
Eprints Journal Name
joma