| Adenocarcinoma arising below an ileoanal anastomosis after restorative proctocolectomy for ulcerative colitis: report of a case. | |
| | |
MedLine Citation:
|
PMID: 17593481 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
We report a case of adenocarcinoma developing in remnant rectal mucosa below a hand-sewn ileal pouch-anal anastomosis (IPAA) after restorative proctocolectomy for ulcerative colitis (UC). To our knowledge, this is the first such case to be reported from Japan. A 60-year-old man with a 13-year history of UC underwent proctocolectomy with a hand-sewn IPAA and mucosectomy for anal stenosis and serious tenesmic symptoms. About 7 years later, a follow-up endoscopy showed a flat elevated malignant lesion, 2 cm in diameter, below the ileoanal anastomosis. He was treated by abdominoperineal resection of the pouch and anus with total mesorectal excision. Histopathological examination of the resected specimen confirmed the presence of a well-differentiated adenocarcinoma but there were no metastatic lymph nodes. He recovered uneventfully and remains well without evidence of recurrent disease 2 years and 3 months after his last operation. |
| | |
Authors:
|
Hirofumi Ota; Keiji Yamazaki; Wakio Endoh; Shigeyuki Hojo; Hiroki Fukunaga; Setsuko Yoshioka; Yoshihiro Okada; Shigeru Okamoto; Nobuhisa Ueda; Yoshiichi Maeura |
Publication Detail:
|
Type: Case Reports; Journal Article Date: 2007-06-26 |
Journal Detail:
|
Title: Surgery today Volume: 37 ISSN: 0941-1291 ISO Abbreviation: Surg. Today Publication Date: 2007 |
Date Detail:
|
Created Date: 2007-06-26 Completed Date: 2007-09-19 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9204360 Medline TA: Surg Today Country: Japan |
Other Details:
|
Languages: eng Pagination: 596-9 Citation Subset: IM |
Affiliation:
|
Department of Surgery, Osaka Saiseikai Senri Hospital, 1-1 D6 Tsukumodai, Suita, Osaka, 565-0862, Japan. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adenocarcinoma, Mucinous
/
etiology*,
pathology Anastomosis, Surgical / adverse effects Anus Neoplasms / etiology*, pathology Colitis, Ulcerative / complications*, surgery Colonoscopy Follow-Up Studies Humans Ileum / surgery* Intestinal Mucosa Male Middle Aged Postoperative Complications Proctocolectomy, Restorative / adverse effects* Rectum / surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Salvage lymphadenectomy of the right recurrent nerve node with tracheal involvement after definitive...
Next Document: Endovascular graft limb occlusion after an anterior resection for rectal cancer: report of a case.