Rectal Carcinoma Associated with Heal Mesenteric Lymph Node Metastasis following Ileorectal Anastomosis and Total Colectomy for Familial Adenomatous Polyposis
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概要
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A 48-year-old man was admitted to our hospital for melena. He had a history of familial adenomatous polyposis and had undergone total colectomy with ileorectal anastomosis (IRA) for ascending colon cancer (mucinous adenocarcinoma, stage IIIb) 17 years previously. A few polyps in the residual rectum had been removed at that time, and the patient had been followed up for 1 year, but failed to return for further examination. After admission to our hospital abdominoperineal resection was performed to treat the numerous polyps in the residual rectum. Two advanced cancers were found in the resected specimen, and histologic examination revealed lymph node metastasis in the ρ-shaped ileal mesentery. It is important to be aware of the possibility of lymph node metastasis in the ileal mesentery of patients with carcinoma in the residual rectum after total colectomy with IRA.
- 一般社団法人 日本消化器外科学会の論文
一般社団法人 日本消化器外科学会 | 論文
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