Puthu D, Rajan N, Rao R, Rao L, Venugopal P
Department of Surgery, Kasturba Medical College, Karnataka, India.
Dis Colon Rectum. 1992 Mar;35(3):257-60. doi: 10.1007/BF02051019.
A case of adenocarcinoma developing in the pouch following restorative proctocolectomy is presented. This seems to be the third reported in the literature. The carcinoma developed from the remnants of precancerous rectal mucosa left in the muscular rectal cuff. The patient had been suffering from ulcerative colitis for 17 years prior to the development of the malignancy. He presented with features of subacute intestinal obstruction. Diagnosis was by sigmoidoscopic examination of the pouch and biopsy. He was treated with abdominoperineal resection of the pouch and rectum, followed by chemotherapy.
本文报告了1例在结直肠切除术后储袋发生腺癌的病例。这似乎是文献中报道的第3例。该癌由直肠肌袖中残留的癌前直肠黏膜发展而来。患者在发生恶性肿瘤前已患溃疡性结肠炎17年。他表现出亚急性肠梗阻的症状。通过对储袋进行乙状结肠镜检查和活检进行诊断。他接受了储袋和直肠的腹会阴联合切除术，随后进行了化疗。
