Konishi Kazuya, Araya Jun, Nagabuchi Makoto, Sakamoto Takashi, Machida Takuro, Sasaki Mayumi, Hirano Satoshi
Dept. of Surgery, Sapporo Century Hospital.
Gan To Kagaku Ryoho. 2019 Jul;46(7):1199-1201.
A 70's male was admitted to our hospital with complaints of anorexia and abdominal pain. CT showed thickening of the ascending colon. Colonoscopy revealed multiple diverticula of the ascending colon, but no tumor on the mucosa. The patient was diagnosed as a case of diverticulitis of the ascending colon and was advised laparoscopic ileocecal resection. The resected specimen showed wall thickening; however, no remarkable findings were observed, with the exception of multiple diverticula on the mucosal surface. Histological examination showed well-differentiated tubular adenocarcinoma extending into the serosa probably arising from the diverticulum. Chemotherapy was performed after surgery. The patient died due to peritoneal dissemination from the ascending colon cancer 14 months after surgery.
一名70岁男性因厌食和腹痛入院。CT显示升结肠增厚。结肠镜检查发现升结肠有多个憩室,但黏膜上未发现肿瘤。该患者被诊断为升结肠憩室炎,并建议行腹腔镜回盲部切除术。切除标本显示肠壁增厚;然而,除黏膜表面有多个憩室外,未观察到明显异常。组织学检查显示高分化管状腺癌侵犯至浆膜层,可能起源于憩室。术后进行了化疗。患者术后14个月因升结肠癌腹膜播散死亡。