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Japanese

A Small IIa+IIc-like Advanced Carcinoma Associated with Ulcerative Colitis Detected During the Long Term Follow-up, Report of a Case Toshio Oiwa 1 , Hisao Oiwa 1 , Takashi Yao 2 , Miyuki Kaneki 2 1Oiwa Gastrointestinal Clinic 2Department of Anatomic Pathology, Graduate School of Medical Sciences, Kyusyu University Keyword: 潰瘍性大腸炎 , 癌化 pp.251-255
Published Date 2005/2/25
DOI https://doi.org/10.11477/mf.1403100211
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 A 63-year-old woman with ulcerative colitis throughout the whole colon has been followed up for 15 years. In spite of treatment by Salazopyrin and Predonine, remission and recrudescence have been repeated. Although the activity of the inflammation gradually decreased in the right-sided colon, the sigmoid colon became stenotic with lead pipe appearance and inflammatory polyps. In the sigmoid colon, a IIa+IIc-like lesion was detected and was diagnosed by biopsy as a carcinoma. Left hemi-colectomy was carried out. Histologically, the carcinoma was mainly composed of poorly differentiated adenocarcinoma invading the muscularis propria. By histological examination with serial step sections, no other carcinoma or dysplasia was detected. Retrospectively, double contrast barium enema revealed slight and focal less extensive rigidity, and this finding was considered to be an early stage of the carcinoma.


Copyright © 2005, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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