Gan to kagaku ryoho. Cancer & chemotherapy · 2018
[A Case of Sigmoid Colon Cancer It Was Found from Penetration of Sigmoid Diverticulum].
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Kurihara Shigeaki, Aomatsu Naoki, Uchima Yasutake, Nobori Chihoko, Yamakoshi Yoshihito, Wang En, Nagashima Daisuke, Hirakawa Toshiki, Iwauchi Takehiko, Morimoto Junya, Tei Seika, Nakazawa Kazunori, Takeuchi Kazuhiro
Аннотация
A 52-year-old woman presented with sudden left lower abdominal pain, fever, and vomiting. As the symptom got improved immediately she went home then. She consulted our hospital with chief complaint of the left lower abdominal mass. Abdominal computed tomography revealed sigmoid colon cancer with abscess. She was diagnosed with sigmoid colon cancer via colonoscopy. Sigmoidectomy including partial resection of the abdominal wall was performed(D3 lymphadenectomy). Surgical specimen showed penetration of diverticulum on mucous membrane of the lesion which had been thought of a abdominal wall permeation and a tumor of I sp type at anal side. Pathological examination showed diverticulitis with penetration and the tumor was tubular adenocarcinoma(tub1, pT1bpN0, pStage I ). We had doubted penetration of sigmoid colon cancer most, but the cause of penetration turned out to be diverticulitis. We experienced a case in which we could performed surgery of sigmoid colon cancer and penetration of diverticulum at the same time.