지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.6
- 수록면
- 58 - 61 (4page)
이용수
초록· 키워드
오류제보하기
Lymph node metastasis in early colon cancer is relatively low. Furthermore, skip metastasis beyond principle lymph node is very rare. This is a case of early cecal cancer with skip metastasis to portocaval and retropancreatic space, without regional lymph node metastasis. A 69-yearold female diagnosed as cecal adenocarcinoma. The imaging study revealed as early cecal cancer without enlargement of regional lymph node. However, there is enlargement of portocaval lymph node and high fluorodeoxyglucose (FDG) uptake in positron emission tomography scan image. Right hemicolectomy with extended lymph node dissection was done including retropancreatic, portocaval and hepatoduodenal ligament lymph node. Though whole abdominal cavity exploration was done, there was no evidence of other synchronous cancer. The final pathologic findings revealed the poorly differentiated adenocarcinoma with invasion of submucosal layer and focally superficial layer of muscularis propria. Two of total 27 lymph nodes were involved by metastastatic adenocarcinoma which were from portocaval and retropancreatic space. The detailed preoperative imaging study could find unexpected lymph node metastasis beyond range of routine lymph node dissection. Even though the preoperative clinical stage is relatively early, the detailed and sufficient evaluation for clinical and imaging findings is important not to ignore skip metastasis.
목차
INTRODUCTION
CASE REPORT
DISCUSSION
REFERENCES
참고문헌 (12)
참고문헌 신청
[학술지(정기간행물)] - Nivatvongs S / 1991 / The risk of lymph node metastasis in colorectal polyps with invasive adenocarcinoma / Dis Colon Rectum 34 : 323 ~ 328
[학술지(정기간행물)] - Morikawa E / 1994 / Distribution of metastatic lymph nodes in colorectal cancer by the modified clearing method / Dis Colon Rectum 37 : 219 ~ 223
[학술지(정기간행물)] - Baxter NN / 2007 / Organ preservation for rectal cancer / J Clin Oncol 25 : 1014 ~ 1020
[학술지(정기간행물)] - Herrera-Ornelas L / 1987 / Metastases in small lymph nodes from colon cancer / Arch Surg 122 : 1253 ~ 1256
[학술지(정기간행물)] - Shiozawa M / 2007 / Clinicopathological features of skip metastasis in colorectal cancer / Hepatogastroenterology 54 : 81 ~ 84
[학술지(정기간행물)] - Morikawa E / 1994 / Distribution of metastatic lymph nodes in colorectal cancer by the modified clearing method / Dis Colon Rectum 37 : 219 ~ 223
[학술지(정기간행물)] - Baxter NN / 2007 / Organ preservation for rectal cancer / J Clin Oncol 25 : 1014 ~ 1020
[학술지(정기간행물)] - Herrera-Ornelas L / 1987 / Metastases in small lymph nodes from colon cancer / Arch Surg 122 : 1253 ~ 1256
[학술지(정기간행물)] - Shiozawa M / 2007 / Clinicopathological features of skip metastasis in colorectal cancer / Hepatogastroenterology 54 : 81 ~ 84
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