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症例
精索に転移した膵尾部癌の1例
A CASE OF METASTASIS OF SPERMATIC CORD FROM PANCREATIC TAIL CANCER
綱島 武彦
1
,
水野 保夫
1
,
田寺 成範
2
,
富岡 収
2
,
岸田 登治
3
,
岡田 康男
3
,
林 肇輝
4
,
粟井 通泰
4
,
有馬 暉勝
5
,
長島 秀夫
5
Takehiko Tsunashima
1
,
Yasuo Mizuno
1
,
Shigenori Tadera
2
,
Osamu Tomioka
2
,
Toyoharu Kishida
3
,
Yasuo Okada
3
,
Keiki Hayashi
4
,
Michiyasu Awai
4
,
Terukatsu Arima
5
,
Hideo Nagashima
5
1姫路赤十字病院内科
2姫路赤十字病院泌尿器科
3姫路赤十字病院外科
4岡山大学医学部第1病理学教室
5岡山大学医学部第1内科学教室
1Department of Internal Medicine, Himeji Red Cross Hospital
2Department of Internal Urology, Himeji Red Cross Hospital
3Department of Internal Surgery, Himeji Red Cross Hospital
41st Department of Pathlogy, Okayama University Medical School
51st Department of Internal Medicine, Okayama University Medical School
pp.77-79
発行日 1983年1月20日
Published Date 1983/1/20
DOI https://doi.org/10.11477/mf.1413203503
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緒言
膵癌で精索に転移して始めて診断されることはきわめて稀である1)。われわれは,38歳の男性で,精索腫瘤の手術で転移癌と診断され,ERCP (内視鏡的逆行性膵・胆管造影法)や腹部CTによつて膵尾部癌によるものと確認して開腹した1症例を経験したので報告する。
A 38-year-old male patient came to us with a chief complaint of a tumor of the right inguinal region. The blood and urine amylase were normal. The resected tumor was diagnosed as metastatic adenocarcinoma. Further examinations were made for primary carcinoma, and as a result, a diagnosis of pancreatic tail cancer was made by means of ERCP and abdominal CT. Laparotomy was executed but only finished in biopsy since it was impossible to extract the pancreatic tail cancer due to metastasis of the peritoneum.
Copyright © 1983, Igaku-Shoin Ltd. All rights reserved.