Hayasaka T, Sasaki H, Saitoh H
Dept. of Int. Med., Hakodate Chu-o Hospital.
Gan No Rinsho. 1989 Jun;35(7):861-6.
A case of a IIa + IIc type early carcinoma of the rectum is reported. A 62-year-old man, who had been checked by immunological latex agglutination faecal occult blood testing, underwent a colorectal examination at Hakodate Chu-o Hospital. A barium enema revealed a slightly elevated lesion with a central depression in the lower rectum. Colonoscopic examination showed a IIa + IIc type of early rectal carcinoma. Study of the resected specimen also confirmed a IIa + IIc type early rectal carcinoma, 17 x 15 mm in diameter. Histologically, a lesion was located within the mucosa and consisted of both a carcinoma and an adenoma. Immunological latex agglutination faecal occult blood testing was thought to be useful for mass screening detection of a colorectal carcinoma.
报告了一例直肠IIa + IIc型早期癌病例。一名62岁男性，通过免疫乳胶凝集粪便潜血检测进行检查后，在函馆中央医院接受了大肠检查。钡灌肠显示直肠下段有一个中央凹陷的轻度隆起病变。结肠镜检查显示为IIa + IIc型早期直肠癌。对切除标本的研究也证实为直径17×15毫米的IIa + IIc型早期直肠癌。组织学上，病变位于黏膜内，由癌和腺瘤组成。免疫乳胶凝集粪便潜血检测被认为对大肠癌的大规模筛查检测有用。
