Toyoda Tetsutaka, Nishimura Yoji, Yatsuoka Toshimasa, Yokoyama Yasuyuki, Shimada Ryu, Ishikawa Hideki, Fukuda Takashi, Amikura Katsumi, Kawashima Yoshiyuki, Sakamoto Hirohiko, Tanaka Yoichi, Nishimura Yu
Dept. of Gastroenterological Surgery, Dept. of Pathology, Saitama Cancer Center.
Gan To Kagaku Ryoho. 2014 Nov;41(12):1671-3.
A 6 8-year-old man was admitted to our hospital with lower abdominal pain. Lower gastrointestinal endoscopy showed type 2 advanced cancer in the ascending colon. Histopathological examination after endoscopical biopsy revealed both moderately differentiated adenocarcinoma and well-differentiated squamous carcinoma. Subsequently, right hemicolectomy was performed. The tumor was 55 × 40 mm in size and was diagnosed as an adenosquamous carcinoma A, type 2, pSS, pN0, sH0, sP0, sM0, fStageII. Adenosquamous carcinoma is extremely rare, represents about 0.1% of all colorectal cancer, and usually has a poor prognosis. Thirty-one months after surgery, the patient is still in good health and displays no signs of recurrence.
一名68岁男性因下腹部疼痛入院。下消化道内镜检查显示升结肠有2型进展期癌。内镜活检后的组织病理学检查显示为中分化腺癌和高分化鳞癌。随后进行了右半结肠切除术。肿瘤大小为55×40mm,诊断为腺鳞癌A,2型,pSS,pN0,sH0,sP0,sM0,fStageII。腺鳞癌极为罕见,约占所有结直肠癌的0.1%,通常预后较差。术后31个月,患者仍健康良好,无复发迹象。