Soga H, Yoshizawa J, Usuki H, Hirai R, Yokoyama N, Imawaki S, Komatsubara S, Teramoto S
2nd Dept. of Surgery, School of Med., Univ. of Okayama.
Gan No Rinsho. 1987 Oct;33(13):1740-4.
A 17-year-old female with an adenocarcinoma of the extraperitoneal rectum, which was diagnosed correctly by preoperative intrarectal ultrasonography as being in Dukes' A stage, was operated on, this surgery performed adhering to function preserving procedures. Histologically, the tumor uncovered was found to be a well differentiated adenocarcinoma and, as had been expected, in Dukes' A stage. An absolute curative operation was achieved. The operative procedure for juvenile rectal cancer must be planned to achieve both tumor removal and bodily function preservation to assure the best possible quality of postoperative life. We recommend intrarectal ultrasonography at the preoperative stage, the results to be used in deciding on the operative procedure.
一名17岁女性，患有腹膜外直肠癌，术前经直肠超声检查正确诊断为Dukes A期，接受了手术，手术遵循功能保留程序进行。组织学检查发现，切除的肿瘤为高分化腺癌，正如预期的那样，处于Dukes A期。实现了根治性手术。青少年直肠癌的手术程序必须在规划时兼顾肿瘤切除和身体功能保留，以确保术后尽可能好的生活质量。我们建议在术前阶段进行直肠超声检查，并将检查结果用于决定手术程序。
