Vieth M, Grunewald M, Niemeyer C, Stolte M
Institut für Pathologie, Klinikum Bayreuth, Germany.
Virchows Arch. 1998 Sep;433(3):281-4. doi: 10.1007/s004280050248.
We report the first known case of pouch carcinoma in a 35-year-old female patient following proctocolectomy for adenocarcinoma in ulcerative pancolitis with backwash ileitis. Pouch cancer was diagnosed 2 years after the pelvic pouch procedure, illustrating that there might be a risk of pouch cancer in such patients. Adenocarcinoma arising in an ileoanal reservoir is rare. Two other cases have been reported: both patients concerned were believed to have developed cancer in small areas of residual remaining rectal mucosa.
我们报告了首例已知的袋状癌病例，患者为一名35岁女性，因溃疡性全结肠炎伴反流性回肠炎并发腺癌接受了直肠结肠切除术。盆腔袋状手术两年后诊断出袋状癌，这表明此类患者可能存在袋状癌风险。回肠肛管储袋发生腺癌较为罕见。此前已报道过另外两例：据信这两名患者均在残留的小片直肠黏膜区域发生了癌症。
