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脾摘出術後に発生した空腸腸間膜線維腫症の1例
http://hdl.handle.net/10110/2118
http://hdl.handle.net/10110/21189cc0d1a6-7798-4c6d-92cf-3a252df80c5e
名前 / ファイル | ライセンス | アクション |
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shoukakigeka02-1413.pdf (485.6 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2008-02-05 | |||||
タイトル | ||||||
タイトル | 脾摘出術後に発生した空腸腸間膜線維腫症の1例 | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | mesenteric fibromatosis | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | intra-abdominal desmoid tumor | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
野本, 一博
× 野本, 一博× 田近, 貞克× 島多, 勝夫× 増山, 喜一× 辻, 政彦× 塚田, 一博 |
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その他(別言語等)のタイトル | ||||||
その他のタイトル | A Case of Mesenteric Fibromatosis Located in the Mesentery of the Jejunum after Splenectomy | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 症例は29歳の男性で,腹部腫瘤を主訴に来院.23歳時に交通外傷で脾摘出術の既往あり.臍左側に約8cmの比較的可動性のある腫瘤を触知し,消化管造影では空腸の圧排を認めたが,大腸にポリポーシスの所見はなかった.US,CT,MRIでは表面が平滑で,内部均一な充実性の腫瘍を認め,血管造影にて腫瘍はhypovascularであった.以上より腸間膜腫瘍と診断し,手術を施行した。空腸の腸間膜腫瘍を,約90cmの空腸,腸間膜とともに切除した.腫瘍は8.5×8.0×5.5cmで,重量は256g,表面は平滑,灰黄色調,充実性,弾性硬で,病理組織学的に腸間膜線維腫症と診断された.本症例は術後1年を経た現在,再発を認めず健在である. Gardner症候群を合併していない腸間膜線維腫症は,再発率も低いため,腸管の大量切除を回避できれば,完全切除をするべきである. A 29-year-old-man with an abdominal tumor and a history of splenectomy at age 23 was palpated with an elastic, hard, mobile tumor at the left side of the navel. Intestinal barium examination revealed compression of the jejunum, but no polyposis of the colon. Abdominal ultrasonography, computed tomography, and magnetic resonance scanning showed a homogenous, solid tumor with a smooth surface. Angiography showed a hypovascular tumor. Based on these findings, we suspected a mesenteric tumor and conducted a laparotomy. We resected a mesenteric tumor with about 90 cm of the jejunum and mesentery. The tumor was 8.5 × 8.0 × 5.5 cm and weighed 256g. It had a smooth surface, a grayish yellow color, and an elastic hard consistency. Pathological examination showed it to be mesenteric fibromatosis. The postoperative course was uneventful and the patient has survived in good health with and disease-free in the year since surgery. Complete tumor resection should be conducted for mesenteric fibromatosis without Gardner's syndrome to avoid massive resection of intestine. |
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書誌情報 |
日本消化器外科学会雑誌 : The Japanese journal of gastroenterological surgery 巻 35, 号 8, p. 1413-1417, 発行日 2002-08 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 3869768 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN00192066 | |||||
権利 | ||||||
権利情報 | rights: 本文データは日本消化器外科学会の許諾に基づき、CiNiiから複製したものである | |||||
フォーマット | ||||||
内容記述タイプ | Other | |||||
内容記述 | application/pdf | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
出版者 | ||||||
出版者 | 日本消化器外科学会 | |||||
資源タイプ(DSpace) | ||||||
内容記述タイプ | Other | |||||
内容記述 | Article |