Tsujii Toshihiko, Kambara Tsunehito, Shimizu Ken, Tsubaki Masahiro, Kamai Takao, Abe Hideyuki, Umeda Hiroshi, Honma Koichi, Yoshida Ken-ichiro
Department of Urology, Dokkyo University School of Medicine, Mibu, Shimotsuga, Tochigi, Japan.
Surg Today. 2002;32(5):439-42. doi: 10.1007/s005950200071.
A 62-year-old man presented with right-sided abdominal pain. Radiologic examinations disclosed a solid tumor in the ileocecal mesentery that obstructed the right ureter, thus resulting in urinary extravasation. An en bloc tumor resection with the ascending colon, the terminal ileum, and a portion of the right ureter was performed. Histopathologically, the tumor was adenocarcinoma with extensive neuroendocrine differentiation which had arisen in an ileal diverticulum. The patient developed metastases to the lymph nodes, liver, and brain, and died 18 months after surgery.
一名62岁男性因右侧腹痛就诊。影像学检查发现回盲部肠系膜有一个实性肿瘤，该肿瘤阻塞了右侧输尿管，从而导致尿液外渗。遂行肿瘤整块切除术，切除范围包括升结肠、回肠末端及部分右侧输尿管。组织病理学检查显示，该肿瘤为腺癌，具有广泛的神经内分泌分化，起源于回肠憩室。患者出现了淋巴结、肝脏和脑转移，术后18个月死亡。
