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回肠造口关闭60多年后瘢痕部位发生的小肠癌:一例报告

Small bowel cancer arising from a scar site more than 60 years after ileostomy closure: a case report.

作者信息

Kohata Akihiro, Kochi Masatoshi, Kitasaki Nao, Abe Tomoyuki, Hotta Ryuichi, Inoue Masashi, Hattori Takuya, Toyota Kazuhiro, Takahashi Tadateru

机构信息

Department of Surgery, National Hospital Organization Higashi Hiroshima Medical Center, Higashihiroshima, Japan.

Department of Pathology, National Hospital Organization Higashi Hiroshima Medical Center, Higashihiroshima, Japan.

出版信息

J Surg Case Rep. 2022 Oct 31;2022(10):rjac485. doi: 10.1093/jscr/rjac485. eCollection 2022 Oct.

Abstract

Although small bowel cancer is rare, cases of carcinoma arising from the abdominal wall have not been reported. We report a case of a tumor arising from a stoma scar site, following ileostomy closure that was performed 60 years earlier. The tumor was resected for both therapeutic and diagnostic purposes and was found to be a primary cancer of the small intestine. The small intestinal mucosa survived long-term at the stoma scar site and developed carcinoma. No similar reports of small bowel cancer arising from the mucosa at the stoma scar site (on the abdominal wall) exist. After tumor resection, the patient received chemotherapy for lung metastases and has survived, thus far, for 2 years since the surgery.

摘要

尽管小肠癌很罕见,但腹壁发生癌的病例尚未见报道。我们报告一例肿瘤发生于造口瘢痕部位的病例,该造口在60年前已行回肠造口关闭术。为了治疗和诊断目的切除了肿瘤,发现其为小肠原发性癌。小肠黏膜在造口瘢痕部位长期存活并发展为癌。目前尚无腹壁造口瘢痕部位黏膜发生小肠癌的类似报道。肿瘤切除后,患者因肺转移接受了化疗,自手术以来已存活2年。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b186/9629517/07f8b5556a12/rjac485f1.jpg

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