@article{oai:u-ryukyu.repo.nii.ac.jp:02016125, author = {Takeshima, Yoshitaka and Shimoji, Hideaki and Isa, Tsutomu and Karimata, Hiroyuki and Muto, Yoshihiro and Otani, Hiroshi}, issue = {2}, journal = {琉球医学会誌 = Ryukyu Medical Journal}, month = {}, note = {A 62-year-old Japanese woman was admitted to our hospital because of a slight rectal bleeding and stenosis in the left colon on a barium study. The patient had undergone a total hysterectomy and received radiotherapy for uterine cervical cancer at 35 years of age. Twenty-seven years after the treatment of uterine cervical cancer, the patient presented with slight rectal bleeding. The physical examination revealed a mid-line surgical scar, brown pigmentation of the skin and wall thickness in the lower abdomen consistent with radiation effect. A barium enema study showed stenosis of the descending colon. Colonoscopy was failed because of difficulty in inserting the endoscope. The patient underwent a left colectomy with lymph node dissection. The lower abdominal cavity showed extensive fibrosis (so-called frozen pelvis) which is often associated with the radiation effect. The resected colon showed a macroscopic Type 2 tumor which invaded the retroperitoneal space and the tumor was histologically diagnosed to be well-differentiated adenocarcinoma (stage IV). Severe endoarteritis was also observed in the vicinity of the tumor. The patient is doing well at the time of writing., 論文}, pages = {85--87}, title = {[症例報告]Colonic cancer associated with radiation colitis : A case report and a brief review of the literature}, volume = {20}, year = {2001} }