内容紹介
Summary
An 81-year-old woman presented with melena. Colonoscopy showed descending colon cancer, but the oral side of the tumor was excluded from observation because of easy bleeding related to the stenosis. CT colonography to evaluate the oral end of the intestine revealed 2 lesions in addition to the lesion observed on endoscopy. Before the surgery, the patient was suspected to have 3 synchronous primary descending colon cancers and underwent left hemicolectomy. Because CT colonography revealed synchronous multiple colon cancers in the patient, we performed surgery in one stage.
要旨
症例は81歳,女性。下血を主訴に当院を受診した。大腸内視鏡検査で下行結腸に2型腫瘍を認めたが,その腫瘍の口側は狭窄に伴う易出血性のために観察を断念した。口側腸管の評価を行うためにCTコロノグラフィを施行すると,内視鏡検査で観察された病変よりも口側の下行結腸に二つの隆起性病変を認めた。下行結腸癌の三重癌と術前診断し,開腹下に一期的に左側結腸切除術を施行した。
目次
An 81-year-old woman presented with melena. Colonoscopy showed descending colon cancer, but the oral side of the tumor was excluded from observation because of easy bleeding related to the stenosis. CT colonography to evaluate the oral end of the intestine revealed 2 lesions in addition to the lesion observed on endoscopy. Before the surgery, the patient was suspected to have 3 synchronous primary descending colon cancers and underwent left hemicolectomy. Because CT colonography revealed synchronous multiple colon cancers in the patient, we performed surgery in one stage.
要旨
症例は81歳,女性。下血を主訴に当院を受診した。大腸内視鏡検査で下行結腸に2型腫瘍を認めたが,その腫瘍の口側は狭窄に伴う易出血性のために観察を断念した。口側腸管の評価を行うためにCTコロノグラフィを施行すると,内視鏡検査で観察された病変よりも口側の下行結腸に二つの隆起性病変を認めた。下行結腸癌の三重癌と術前診断し,開腹下に一期的に左側結腸切除術を施行した。