Fuke H, Sato T, Nishiba R, Higashiyama H, Takarada Y, Aoki D, Yabana T, Akiyama T
Gan No Rinsho. 1986 Dec;32(15):2009-14.
A 59-year-old woman was admitted to our hospital complaining of weight loss. Fourteen years earlier, she had undergone gastrectomy for gastric carcinoma of the Borrmann III type on the lesser curvature of the body. Biopsy specimens of the lesion revealed poorly differentiated adenocarcinoma. On the fifth hospital day of the admission under study, she complained of vaginal bleeding, and a diagnosis of endometrial carcinoma was made by a gynecologist. Transverse colectomy and total hysterectomy were done. The lesion was localized only in the transverse colon, was histologically poorly differentiated adenocarcinoma similar to the specimen of gastric carcinoma resected 14 years earlier and involved mainly the serosa. Therefore, secondary linitis plastica of the transverse colon was diagnosed.
一名59岁女性因体重减轻入住我院。14年前,她因胃体小弯处的Borrmann III型胃癌接受了胃切除术。病变的活检标本显示为低分化腺癌。在本次住院的第五天,她出现阴道出血,妇科医生诊断为子宫内膜癌。遂行横结肠切除术和全子宫切除术。病变仅局限于横结肠,组织学上为低分化腺癌,与14年前切除的胃癌标本相似,主要累及浆膜。因此,诊断为横结肠继发性皮革胃。