Akashi Takahisa, Yoshikawa Takuro, Sakamoto Hiroki, Asakura Yu, Owada Yoshiyuki, Ienaga Tetsuya, Nakano Ryota, Hirano Seiichi, Ikura Yoshihiro, Iwai Yasuhiro
Dept. of Gastroenterological Surgery, Takatsuki General Hospital.
Gan To Kagaku Ryoho. 2016 Nov;43(12):2298-2300.
A 63-year-old man was admitted to our hospital with a cough. Based on imaging studies, the patient was diagnosed with locally advanced descending colon cancer with extensive infiltration into peripheral organs by extramural progression. There was no distant metastasis. Therefore, he received left hemicolectomy with splenectomy, partial gastrectomy, and partial diaphragm resection. Histopathological examination showed a mucinous adenocarcinoma, pT4b, pN1, cM0, fStage III A. We report a rare case of extramural progression colon cancer with invasion of various organs and review 12 previous case reports.
一名63岁男性因咳嗽入院。根据影像学检查，该患者被诊断为局部晚期降结肠癌，肿瘤通过壁外进展广泛浸润周围器官，无远处转移。因此，他接受了左半结肠切除术、脾切除术、部分胃切除术和部分膈肌切除术。组织病理学检查显示为黏液腺癌，pT4b，pN1，cM0，fStage III A。我们报告了一例罕见的壁外进展型结肠癌侵犯多个器官的病例，并回顾了之前的12例病例报告。
