Gan to kagaku ryoho. Cancer & chemotherapy · 2019
[Simultaneous Laparoscopic Sigmoid Colectomy and Malignant Lymphoma Biopsy-A Case Report].
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Kobayashi Noboru, Miyake Masakazu, Uemura Mamoru, Kato Takeshi, Kitakaze Masatoshi, Kobayashi Yuta, Yamamoto Kei, Hamakawa Takuya, Maeda Sakae, Hama Naoki, Nishikawa Kazuhiro, Miyamoto Atsushi, Hirao Motohiro, Takami Koji, Sekimoto Mitsugu
Аннотация
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.