Baba Youichirou, Uchiyama Tomoko, Hamada Kenji, Ishihara Yoshiko, Tanaka Hiroki, Isono Yoshiaki, Saito Tomonori, Mukai Katsumi, Murata Tetsuya, Ajioka Yoichi
Department of Pathology, JA Suzuka General Hospital.
Nihon Shokakibyo Gakkai Zasshi. 2014 Jul;111(7):1384-90.
A 45-year-old woman with persistent abdominal pain was admitted to our hospital. Detailed examination revealed a type 4 lesion with circumferential narrowing, which was diagnosed as a poorly differentiated carcinoma following forceps biopsy and ascitic fluid cytology. Although the lesion was surgically resected, the ascites increased rapidly, and her general condition deteriorated in the postoperative period. She died 6 weeks after the appearance of her symptoms. Autopsy and histological examination confirmed a very rare undifferentiated colon carcinoma with rhabdoid features, which is a high-grade malignant lesion associated with a poor prognosis.
一名45岁持续性腹痛的女性被收治入院。详细检查发现一处4型病变伴环形狭窄，经钳取活检及腹水细胞学检查诊断为低分化癌。尽管病变已行手术切除，但腹水迅速增多，术后她的一般状况恶化。症状出现6周后死亡。尸检及组织学检查证实为一种非常罕见的具有横纹肌样特征的未分化结肠癌，这是一种预后不良的高级别恶性病变。
