Ferrandez Rivera M, Baltar Boileve J, Cameselle Teijeiro J M, Gil Gil P
Médecin interne de chirurgie, Service de Chirurgie Générale, Hospital Xeral, Vigo, Espana.
J Chir (Paris). 1990 Aug-Sep;127(8-9):412-5.
In this article we present the tenth case, according to the literature, of adenocarcinoma occurring at a long standing ileostomy originally performed for ulcerative colitis. Study of this and previous cases demonstrates common factors such as a previous history of ulcerative colitis, a long interval until the appearance of symptoms, together with a similar clinical and pathological characterisation with invasion of neighbouring skin layers close to the ileostomy. Several pathogenic hypotheses are considered. We believe that local excision in oder to obtain the diagnosis is a better option than a sampling biopsy and that surgery should include a wide resection of the abdominal wall and intestine in order to comply with therapeutic criteria in malignant disease.
在本文中，根据文献报道，我们呈现了第十例原发性溃疡性结肠炎长期回肠造口术后发生腺癌的病例。对该病例及既往病例的研究表明，存在一些共同因素，如既往溃疡性结肠炎病史、出现症状前的较长间隔时间，以及类似的临床和病理特征，包括靠近回肠造口处邻近皮肤层的浸润。文中考虑了几种致病假说。我们认为，为明确诊断进行局部切除比取样活检是更好的选择，并且手术应包括广泛切除腹壁和肠管，以符合恶性疾病的治疗标准。
