雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

A Case of Reticulum Cell Sarcoma of the Terminal Ileum showing Intussusception K. Ichihara 1 , N. Kato 1 , M. Ito 2 , H. Takimoto 2 , K. Hayashi 3 1Dep. of Internal Medicine Gifu-ken Tajimi Hospital 2Dep. of Surgery Gifu-ken Tajimi Hospital 3Dep. of Laboratory of Clinical Pathology Gifu-ken Tajimi Hospital 41st Dep. of Internal Medicine, Nagoya City University pp.341-346
Published Date 1976/3/25
DOI https://doi.org/10.11477/mf.1403107122
  • Abstract
  • Look Inside

 A man aged 72 complained of mucoid and bloody stool along with nausea and vomiting. The ileocecal region was slightly tender, The feces was positive for occult blood. There were also anemia and slight decrease in renal function. Barium enema study disclosed a shadow defect and a picture of protrusion in the ileocecal region, suggestive of intussusception. Repeat barium enema study one week later showed disappearance of the tumor in the ileocecal region. A tumor slightly indented and of uneven, irregular surface was detected instead in the terminal part of the ileum. Endoscopy (CF type LB) and biopsy were attempted, but the tumor had grown large enough to occlude almost the whole lumen of the ileum. There was not enough room for sufficient endoscopic observation except the sides of the tumor. Biopsy was also of no avail in obtaining the qualitative diagnosis of the neoplasm, allowing us only to suspect the presence of either leiomyosarcoma or malignant lymphoma. Right hemicolectomy showed a solitary tumor,40×40×16 mm in dimensions, at a site 3 cm oral from the ileocecal valve. Infiltration of tumor cells reached the subserosa, invading the regional lymph nodes as well. Histologically the tumor was reticulum cell sarcoma of the ileum.

 The patient is in good health as of 17 months after the surgery.


Copyright © 1976, Igaku-Shoin Ltd. All rights reserved.

基本情報

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

関連文献

もっと見る

文献を共有