<原著>転移性多発空腸癌 : 肺原発の1例

概要

論文の詳細を見る
Most of the metastatic tumors of small intestine are seldom demonstrated before laparotomy or autopsy. The patient complained of abdominal pain, melena, etc., but there were not any characteristics of this disease. A 70-year-old male suffering from intermittent vomiting underwent jejuno-jejunostomy and gastro-jejunostomy because of multiple constrictions of the jejunum. Inflammatory bowel disease was suspected because frozen sections of the node and jejunal wall revealed no malignant change. Postoperatively, the patient developed peritonitis due to leakage of the contents of small bowel. He was reopened and subjected to resection of the jejunum. The site of leakage was the jejunal wall which had been made lysis from the colon at the prior laparotomy. The diagnosis was corrected as primary multiple jejunal cancer because sections of the obtained specimen revealed adenocarcinoma. He died 52 days after the initial laparotomy. Autopsy revealed primary neoplasm of the right lung and metastases to the jejunum and right adrenal. In the collected literatures the primary malignancy of the metastatic tumor to the small bowel is usually detected without difficulty. But in this case, the pulmonary carcinoma was not demonstrated in chest X-ray and cytology of the sputa, the final diagnosis was established at autopsy. On encountering multiple tumors of the small bowel, the possibility of metastatic neoplasm should be suspected and the site of primary malignancy should be detected.
近畿大学の論文
1978-12-25

<原著>転移性多発空腸癌 : 肺原発の1例

スポンサーリンク

概要

著者

関連論文

スポンサーリンク