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

Diagnosis of the Rectal Carcinoids A. Funada 1 1Department of Internal Medicine, Cancer Institute Hospital pp.597-607
Published Date 1975/5/25
DOI https://doi.org/10.11477/mf.1403112329
  • Abstract
  • Look Inside
  • Cited by

 Clinical, radiological, endoscopical and histo-pathoIogical study was done on 8 cases of the rectal carcinoids which had been experienced in the period of 4 years and 7 months from July, 1971 to January, 1975 at the Cancer Institute Hospital, Tokyo. (1) Radiologically, the double contrast barium enema examination has made it possible to visualize the rectal carcinoids as a smooth, rounded or oval polypoid lesion with the maximum diameter of smaller than 15 mm. The profile shape of 4 cases were sessile and easy grade and 4 cases were sessile with a constriction at its base (sub-pedunculated). (2) Endoscopically, the rectal carcinoids were observed as a smooth, spherical or semi-spherical polypoid lesion in the distance of 6 to 15 cm from the dentate line. Six of 8 cases showed slightly yellowish surface in color with marked distinction from the normal surrounding mucosa which could be considered as the most reliable sign of the rectal carcinoid, and 2 cases showed almost the same color as the normal mucosa. Although endoscopic polypectomy was performed in 2 cases which were judged as sub-pedunculated in order to obtain the more accurate information for the pathological diagnosis, surgical treatment would be necessary in the near future. (3) In the histo-pathological diagnosis the rectal carcinoids showed a growth of almost rounded tumor in the submucosal layer without extension to the muscularis propria. Generally, the rectal carcinoids have been reported to be negative for staining. The Argentaffin reaction was positive in 1 case of our series (Case 4).

 In the radiological differential diagnosis of the rectal carcinoids, early carcinoma should be considered in the first place, if a polypoid lesion is sessile or sub-pedunculated with the maximum diameter of 10 mm or so. Our experience suggests that the rectal carcinoid may be occasionally encountered and at the present time, the yellowish color of thier surface which is observed endoscopically will be the most characteristic sign of rectal carcinoid in the absence of radiological finding which distinguish them from early carcinoma.


Copyright © 1975, 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

  • 直腸カルチノイドの診断と治療 小泉 浩一 , 丸山 雅一 , 佐々木 喬敏 , 坂谷 新 , 太田 博俊 , 畦倉 薫 , 関 誠 , 上野 雅資 , 加藤 洋 医学書院 胃と腸
    24巻 8号 (1989年8月)
    pp.883-890
    • 有料閲覧
  • 大腸癌の血漿CEA値 佐々木 喬敏 , 丸山 雅一 , 舟田 彰 , 杉山 憲義 , 竹腰 隆男 , 馬場 保昌 , 二宮 健 , 成井 貴 , 高木 国夫 , 高橋 孝 , 堀 雅晴 , 中村 恭一 , 秡川 正嗣 医学書院 胃と腸
    12巻 2号 (1977年2月)
    pp.253-261
    • 有料閲覧
  • 直腸カルチノイド 佐々木 英制 , 水谷 哲夫 , 近藤 博 , 久米 祥彦 , 栗林 弘 , 尾崎 鉄也 医学書院 臨床外科
    30巻 10号 (1975年10月)
    pp.1309-1313
    • 有料閲覧
  • 早期胃癌診断の進歩と将来 竹腰 隆男 , 杉山 憲義 , 馬場 保昌 , 丸山 雅一 , 佐々木 喬敏 , 舟田 彰 , 二宮 健 , 成井 貴 , 高木 国夫 , 大橋 一郎 , 中村 恭一 , 加藤 洋 , 秡川 正嗣 医学書院 medicina
    14巻 2号 (1977年2月)
    pp.175-179
    • 有料閲覧
  • 直腸カルチノイドの診断と治療 大野 吏輝 , 秋吉 高志 , 小西 毅 , 藤本 佳也 , 長山 聡 , 福長 洋介 , 上野 雅資 南江堂 臨床雑誌外科
    76巻 10号 (2014年10月)
    pp.1097-1103
    • 有料閲覧
もっと見る

文献を共有