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Rapidly Progressed Endocrine Cell Carcinoma in the Ascending Colon, Report of a Case Toshihiko Hirata 1 , Takaaki Yamane 1 , Hirotsugu Terakura 1 1Department of Surgery, Kumamoto Red Cross Hospital Keyword: 上行結腸 , 内分泌細胞癌 pp.95-100
Published Date 2004/1/25
DOI https://doi.org/10.11477/mf.1403100419
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 The patient was a 59-year-old female without subjective symptoms who visited a local physician with the chief complaint of fecal occult blood. She was referred to our hospital with a diagnosis of carcinoid tumor. A type-2 lesion approximately 4 cm in size was observed in the ascending colon. Endoscopy conducted 2 months earlier by her previous physician showed that the lesion was a protruded lesion with erosive surface, which demonstrated marked morphological changes over a short period. Endocrine cell carcinoma was suspected from the biopsy, based on severe dyskaryosis and rosette-like structure in some areas and an operation was performed. While histologically, the tumor was an endocrine cell carcinoma classified as “se, n3, P0, H0, Stage IIIb, ly2, v2” with positive intramural metastasis whose radical cure rating was “A”, the patient died of multiple liver metastasis 4 months following the surgery. The case was considered to be a valuable case which might be helpful in determining the natural history of this rare disease that has an extremely poor prognosis.

 1) Department of Surgery, Kumamoto Red Cross Hospital, Kumamoto, Japan


Copyright © 2004, 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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