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  1. 学術雑誌論文
  2. 琉球医学会
  3. 琉球医学会誌
  4. 20巻2号
  1. 部局別インデックス
  2. その他

[症例報告]Carcinosarcoma (sarcomatoid carcinoma) of the Gallbladder Presenting with a Cholecystocolic Fistula and a Marked Leukocytosis : A Case Report

http://hdl.handle.net/20.500.12000/0002016159
http://hdl.handle.net/20.500.12000/0002016159
d4435fe1-11e8-481f-96c1-4f9d4a93412a
名前 / ファイル ライセンス アクション
v20p77.pdf v20p77.pdf
Item type デフォルトアイテムタイプ(フル)(1)
公開日 2010-07-02
タイトル
タイトル [症例報告]Carcinosarcoma (sarcomatoid carcinoma) of the Gallbladder Presenting with a Cholecystocolic Fistula and a Marked Leukocytosis : A Case Report
言語 ja
作成者 Hanashiro, Naoji

× Hanashiro, Naoji

en Hanashiro, Naoji

Tamaki, Satoshi

× Tamaki, Satoshi

en Tamaki, Satoshi

Naka, Tsunemori

× Naka, Tsunemori

en Naka, Tsunemori

Muto, Yoshihiro

× Muto, Yoshihiro

en Muto, Yoshihiro

アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利情報
言語 ja
権利情報 琉球医学会
主題
言語 en
主題Scheme Other
主題 carcinosarcoma
言語 en
主題Scheme Other
主題 gallbladder
言語 en
主題Scheme Other
主題 cholecystocolic fistula
言語 en
主題Scheme Other
主題 leukocytosis
内容記述
内容記述タイプ Other
内容記述 We herein report a case of carcinosarcoma (sarcomatoid carcinoma) of the gallbladder with a cholecystocolic fistula and evidence of marked leukocytosis in a 77-year-old Japanese man. The patient presented with episodes of right upper quadrant pain and fever in April 2000. The physical examination revealed a painful, palpable mass in the right upper quadrant. Routine laboratory findings showed leukocytosis (18.000/mm^3). Abdominal sonography showed an echogenic mass occupying the entire gallbladder lumen. Abdominal CT demonstrated a solid mass lesion measuring 8×7 cm in size with a clear, hypodense asterisk configuration, suggesting a communication between the gallbladder and the gastrointestinal tract. At exploratory laparotomy, a large solid gallbladder tumor showed direct invasion into the transverse colon and regional lymph node metastasis. The tumor was evaluated to be Stage IV. With the intention of performing cytoreductive surgery, a cholecystectomy together with a partial transverse colectomy was thus performed. The gallbladder tumor showed penetration into the transverse colon, forming a cholecystocolic fistula. On a cut section analysis, the tumor occupied the entire gallbladder lumen and measured 7×5 cm in size. No gallstones were observed. The tumor was composed of two different histologic features: an adenocarcinomatous feature that was composed of moderately differentiated adenocarcinoma and a sarcomatous feature that consisted primarily of pleomorphic, spindle cells. Immunohistochemically, the adenocarcinoma cells were positive for keratin, EMA and CEA whereas the sacomatous spindle cells were positive for vimentin and CEA. However, both the carcinoma cells and sarcomatous cells were negative for G-CSF. Postoperatively, the patient's WBC counts increased from 26.9×10^3/mm^3 to 103.0×10^3/mm^3. Finally, the patient died with clinical manifestations of peritonitis carcinomatosa one month after surgery.
内容記述タイプ Other
内容記述 論文
出版者
言語 ja
出版者 琉球医学会
言語
言語 eng
資源タイプ
資源タイプ journal article
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 1346888X
収録物識別子タイプ ISSN
収録物識別子 0289-1530
収録物識別子タイプ NCID
収録物識別子 AN10369445
収録物名
言語 ja
収録物名 琉球医学会誌 = Ryukyu Medical Journal
書誌情報
巻 20, 号 2, p. 77-80
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