| Item type |
Journal Article(1) |
| 公開日 |
2021-03-01 |
| タイトル |
|
|
タイトル |
漿膜浸潤および第3群リンパ節転移を呈した直径13mmの0-IIa＋IIc型S状結腸癌の１例 |
| その他(別言語等)のタイトル |
|
|
その他のタイトル |
IIa＋IIc Typed-Carcinoma of the Sigmoid Colon, 13mm in Diameter, with Serosal Invasion and Lymph Node Metastasis Around the Inferior Mesentric Artery : Report of a Case |
| 作成者(その他言語) |
原, 浩樹
小出, 直彦
佐藤, 敏行
村上, 真基
丸田, 福門
杉山, 敦
赤松, 泰次
細田, 和貴
宮川, 眞一
|
| 公開者(その他言語) |
|
|
|
姓名 |
信州医学会 |
| 書誌情報 |
信州医学雑誌
巻 51,
号 5,
p. 293-298,
発行日 2003-10
|
| 言語 |
|
|
言語 |
jpn |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
advanced colorectal carcinoma 2cm or less in size |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
poorly differentiated adenocarcinoma |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
2cm以下の進行大腸癌 |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
低分化腺癌 |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| アクセス権 |
|
|
アクセス権 |
metadata only access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_14cb |
| 内容記述 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
A 73-year-old man was admitted to our hospital for screening for colonic malignancy. Colonoscopy revealed a 0-IIa＋IIc typed lesion,13mm in diameter,in the sigmoid colon.Endscopic ultrasonograpy (EUS) was performed, and we suspected that the tumor had invaded the submucosal layer massively or the proper muscle layer. Pathological examination of the biopsy specimens showed a moderately or poorly-differentiated adenocarcinoma. We performed laparoscopic surgery; however, serosal invasion of the tumor was detected in the sigmoid colon. Furthermore,a metastatic lymph node around the inferior mesentric artery was detected. Consequently, we performed a laparotomy, and then performed sigmoidectomy and regional lymph node dissection (D3). Pathology revealed a poorly-differentiated adenocarcinoma. When we retrospectively compared an image of the histological specimen with the EUS pictures, it was revealed that the tumor cells had invaded the proper muscle sparsely, but had massively developed on the serosa. Because the proper muscle layer appeared to be in good condition in the EUS pictures, it was difficult to make a precise diagnosis of the tumor invasion. Although the advanced sigmoid colon carcinoma was 2cm or less in size, it invaded beyond the serosa with lymph node metastasis because the histological type was a poorly-differentiated adenocarcinoma. |
| 日付 |
|
|
日付 |
2015-09-24 |
|
日付タイプ |
Created |
| 資源タイプ |
|
|
内容記述タイプ |
Other |
|
内容記述 |
Article |
| フォーマット |
|
|
内容記述タイプ |
Other |
|
内容記述 |
application/pdf |
| その他の資源識別子 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
信州医学雑誌 51(5): 293-298(2003) |
| 資源識別子URI |
|
|
識別子 |
http://hdl.handle.net/10091/9342 |
|
識別子タイプ |
HDL |
| ISSN |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
0037-3826 |
| 処理レコードID(総合目録DB) |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AN00120815 |
| 著者版フラグ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
https://soar-ir.repo.nii.ac.jp/?action=repository_action_common_download&item_id=4288&item_no=1&attribute_id=65&file_no=1
