@article{oai:toyama.repo.nii.ac.jp:00002290,
 author = {松井, 恒志 and 田澤, 賢一 and 吉田, 徹 and 新保, 雅宏 and 山岸, 文範 and 塚田, 一博},
 issue = {5},
 journal = {日本消化器外科学会雑誌 : The Japanese journal of gastroenterological surgery},
 month = {May},
 note = {application/pdf, 症例は52歳の女性で,下腹部正中の腫瘤を主訴に当院内科を受診した.腹部CTにて骨盤部正中に小児頭大の腫瘤性病変を認めた.下部消化管内視鏡検査で横行結腸に3型病変を認め,生検で高分化型腺癌と診断された.その後,発熱および臍周囲の皮膚発赤が出現した.腹部CT上横行結腸癌の浸潤に伴う腹壁膿瘍を認め,膿瘍ドレナージを施行した.炎症反応の改善後,右半結腸切除術,腹壁合併切除を施行した.摘出標本上腫瘍は80×70mm大,臍部皮膚まで瘻孔を形成.病理組織学的検査でsi(腹壁,盲腸),Iy3, v1, n3, ow(-), aw(-), ew(-).術後18か月を経過し,再発はなく現在存命中である.進行大腸癌で腹壁膿瘍を形成する症例は極めてまれであり,膿瘍を含めた根治手術が患者の予後に重要である.
 A 52-year-old woman admitted for a lower abdominal tumor was found in abdominal computed tomography to have a huge tumor in front of the pelvis. Colonoscopy showed a type 3 tumor in the transverse colon. Biopsy specimens of the tumor were diagnosed as well-differentiated adenocarcinoma. She had a high fever because of an abdominal wall abscess, which was drained. After the acute inflammation improved, we conducted right hemicolectomy with lymph node dissection at level D3. We also resected the abdominal wall, including the abscess. The resected specimen showed a giant tumor of the transverse colon with external colonic fistula. Pathologically, cancer cells had invaded the abdominal wall and cecum, extensively involving the vessels. The patient has remained in good health without recurrence 18 months after surgery. Colon carcinoma with an abdominal wall abscess is very rare, and we recommend attempting radical surgery to ensure a good prognosis., Article},
 pages = {656--660},
 title = {腹壁膿瘍を合併した横行結腸癌の1例},
 volume = {40},
 year = {2007}
}