@article{oai:u-ryukyu.repo.nii.ac.jp:02016879,
 author = {伊禮, 靖苗 and 金城, 達也 and 佐村, 博範 and 西垣, 大志 and 金城, 章吾 and 西巻, 正 and Irei, Yasue and Kinjo, Tatsuya and Samura, Hironori and Nishigaki, Taishi and Kinjo, Shogo and Nishimaki, Tadashi},
 issue = {1･2},
 journal = {琉球医学会誌 = Ryukyu Medical Journal},
 note = {A 49-year-old man was admitted to hospital because of abdominal pain. A 67×55mm tumor in the small intestine and a 15×13mm umbilical nodule were detected on computed tomography (CT) scans. The small bowel series showed an irregularity of the surface of the tumor, but a balloon endoscopy failed to detect the tumor in the small intestine. In addition, colonoscopy revealed an 25×25mm rectal tumor, type0-Ⅰs, with uneven surface. The rectal tumor seemed to be a submucosal (SM) invasion. The resection of the small intestine and the umbilical nodule preceded the treatment of the rectal tumor because of his severe symptom of bowel obstruction. Histopathological examination and immunohistochemistry showed moderately differentiated tubular adenocarcinoma and cytokeratin (CK) 7 positive cells in small intestinal tumor. These findings revealed the diagnosis of adenocarcinoma of the small intestine with an umbilical metastasis. Adjuvant chemotherapy (mFOLFOX6) was administered after the surgery because adenocarcinoma of the small intestine seemed a poor prognosis. Repeated colonoscopy disclosed other early cancers in the cecum and ascending colon before surgery for the rectal cancer. A right hemicolectomy and a low anterior resection were performed. We reported a case of double primary cancers of small intestine with an umbilical metastasis and multiple colorectal cancer, and reviewed previous literatures., 論文},
 pages = {53--58},
 title = {[症例報告]多重大腸癌を併発した臍転移を伴う重複小腸癌の1例},
 volume = {34}
}