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Idiopathic Mesenteric Phlebosclerosis Coincident with Adenocarcinoma of the Ascending Colon, Report of a Case Atsuko Ota 1 , Akinori Iwashita 1 , Keisuke Ikeda 1 , Seiji Haraoka 1 , Hiroshi Tanabe 1 , Kaname Oshige 1 , Nobuaki Nishimata 1 , Makoto Yorioka 2 , Yujiro Aoyama 2 , Tatsuya Imamura 2 1Department of Pathology, Fukuoka University Chikushi Hospital, Chikushino, Japan 2Sada Hospital, Fukuoka, Japan Keyword: 特発性腸間膜静脈硬化症 , 大腸癌 , 虚血性腸病変 pp.227-232
Published Date 2009/2/25
DOI https://doi.org/10.11477/mf.1403101584
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 A 73-year-old woman was admitted to the hospital with the complaint of right lower quadrant(RLQ)pain for about two months. Barium enema examination and colonoscopy revealed an ascending colon adenocarcinoma. A right hemicolectomy was performed. Macroscopically, the carcinoma was 5.5×5.0cm in size, and the large intestine showed a slightly dark purple-colored surface, swelling, and mild thickening of the wall. Pathologically, the tumor was a T3N0 well differentiated adenocarcioma. Sections also showed edema, veins with fibrous thickening and mild fibrosis in the submucosa, and deposition of collagen around vessels in the mucosa. Only a few serosal veins showed mural calcification. The marked thickening submucosal layer was mainly because of edema and mild fibrosis. The histological findings were consistent with those of idiopathic mesenteric phlebosclerosis(IMP), and also suggested an early stage of this disease. We concluded that the carcinoma was coincident with IMP, and was not a so-called colitic cancer.


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

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