大腸内視鏡検査（粘膜切除）にて直腸癌と鑑別に苦慮した孤立性直腸潰瘍症候群の1例

概要

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A Case Report of solitary ulcer syndrome of rectum to differentiate from rectal cancer by colonscopy is reported. The patient was 40 years-old, male. He visited our hospital with complaint of occult blood of stool in 1997. Colonscopy was performed. It shows solitary ulcer in rectum. Biopsy is no malignancy. 4 years after (2001) he visited again with same complaint. Colonscopy shows tumor (like type 2 rectal carcinoma) with ulcer in rectum. Biopsy is no malignancy, but we highly suspected rectal cancer. We performed rectal biopsy 2 times, and huge specimen by snear. These show no malignancy in this rectal tumor. Then, we diagnose this case as solitary ulcer syndrome of rectum. It is important to perform biopsys frequently, suspected solitary ulcer syndrome of rectum.
Japan Gastroenterological Endoscopy Society Kanto Chapterの論文