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ID 52934
Sort Key
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タイトル(別表記)
Giant rectal gastrointestinal stromal tumor successfully resected by abdominoperineal resection combined with posterior vaginal wall resection
フルテキストURL
Thumnail 126_217.pdf 11.3 MB
著者
岩川 和秀 国立病院機構福山医療センター 外科
西江 学 国立病院機構福山医療センター 外科
徳永 尚之 国立病院機構福山医療センター 外科
宮宗 秀明 国立病院機構福山医療センター 外科
岩垣 博巳 国立病院機構福山医療センター 外科
抄録
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.
キーワード
巨大直腸GIST(giant rectal GIST)
腹会陰式直腸切断術(abdominoperineal resection)
備考
症例報告 (Case Reports)
出版物タイトル
岡山医学会雑誌
発行日
2014-12-01
126巻
3号
出版者
岡山医学会
出版者(別表記)
Okayama Medical Association
開始ページ
217
終了ページ
221
ISSN
0030-1558
NCID
AN00032489
資料タイプ
学術雑誌論文
OAI-PMH Set
岡山大学
言語
Japanese
著作権者
Copyright (c) 2014 岡山医学会
論文のバージョン
publisher
査読
有り
DOI
NAID
Eprints Journal Name
joma