医学
结肠切除术
乙状结肠
活检
结直肠癌
肠梗阻
放射科
外科
淋巴瘤
癌症
内科学
直肠
作者
Noboru Kobayashi,Masakazu Miyake,Mamoru Uemura,Takeshi Kato,Masatoshi Kitakaze,Yuta Kobayashi,Kei Yamamoto,Takuya Hamakawa,Sakae Maeda,Naoki Hama,Kazuhiro Nishikawa,Atsushi Miyamoto,Motohiro Hirao,Koji Takami,Mitsugu Sekimoto
出处
期刊:PubMed
日期:2019-03-01
卷期号:46 (3): 521-522
摘要
The patient, a woman in her 70s, was diagnosed with occlusive ileus caused by sigmoid colon cancer.She underwent transanal stent placement to release the occlusion.Subsequent detailed testing revealed a 70×60mm mass on the dorsal side of the pancreas and PET-CT indicated an SUVmax 18.2 FDG uptake. EUS-FNA was performed twice.However, the mass was unable to be definitively diagnosed.The patient was then referred to our hospital.She underwent laparoscopic sigmoid colectomy and laparoscopic biopsy of the mass for sigmoid colon cancer.The patient progressed well postoperatively and was discharged home on postoperative day 9.The postoperative diagnosis was colon cancer(S, Type 2, 58×50 mm, tub2, pT4a [SE], pN1, Stage Ⅲa)and the biopsied mass was found to be a nodal marginal zone B-cell lymphoma according to histopathological testing.After undergoing chemotherapy at our hematology department, she has experienced no recurrence.
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