Abstract

症例は41歳,女性.肛門腫瘤で当院を受診した.直腸診では,肛門皮膚部5時方向に硬い腫瘤を触知し,肛門エコーでは,肛門5時方向に,肛門管と連続しない低エコー病変を認め,エラストグラフィーでは,周辺とは明らかに性状の異なる,硬い腫瘤として描出された.悪性の可能性が否定できず腫瘍切除の適応とした.手術は腰椎麻酔下に肛門腫瘍切除を行い,病理では,細胞質の豊かな大型の細胞が密集する病変で,免疫組織学的染色では,S-100が陽性,顆粒細胞腫と診断された.

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