ID | 55266 |
Sort Key | 8
|
Title Alternative | Adenocarcinoma in the jejunum 20 years after surgery for familial adenomatous polyposis
|
FullText URL | |
Author |
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
ORCID
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
Kishimoto, Hiroyuki
Division of Endoscopy, Okayama University Hospital
Nagasaka, Takeshi
Division of Endoscopy, Okayama University Hospital
ORCID
Kaken ID
publons
researchmap
Okada, Hiroyuki
Department of Gastroenterology and Hepatology, Okayama University Hospital
Kaken ID
publons
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)
|
Publication Title |
Journal of Okayama Medical Association
|
Published Date | 2017-08-01
|
Volume | volume129
|
Issue | issue2
|
Publisher | 岡山医学会
|
Publisher Alternative | Okayama Medical Association
|
Start Page | 111
|
End Page | 114
|
ISSN | 0030-1558
|
NCID | AN00032489
|
Content Type |
Journal Article
|
Related Url | https://doi.org/10.4044/joma.129.111
|
OAI-PMH Set |
岡山大学
|
language |
Japanese
|
Copyright Holders | Copyright (c) 2017 岡山医学会
|
File Version | publisher
|
Refereed |
True
|
DOI | |
NAID | |
Eprints Journal Name | joma
|