Abstract
症例は66歳女性．直腸癌に対し腹腔鏡下低位前方切除術，回腸人工肛門造設術を行った．病理組織学的診断はRa，type2，45×55mm，tub2，pT3，ly1，v0，pN1（3/18），cM0，Stage Ⅲaであった．術後補助化学療法施行後に回腸人工肛門を閉鎖した．初回手術後１年目に大動脈周囲および回盲部腸間膜内の２か所に腫瘤を認め，直腸癌再発が否定できず開腹生検を施行しデスモイドと診断された．外科的完全切除を勧めるも本人拒否が続きスリンダク300mg/日内服を開始した．しかし腫瘍は増大し，開腹生検から４カ月後に手術を施行した．腫瘍は生検結果と同様デスモイドと診断された．現在，術後１年無再発経過観察中である．家族性大腸腺腫症を伴わない腹腔内デスモイド腫瘍の報告は散見されるが腹腔鏡術後発生の報告は少なく，かつ多発例は非常に稀であり，文献的考察を加え報告する．
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: Nihon Gekakei Rengo Gakkaishi (Journal of Japanese College of Surgeons)
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
