INTESTINE Vol.13 No.4(1-1)


特集名 いまこそde novo
題名 de novo 癌診断の時代変遷(1)臨床の立場から
発刊年月 2009年 07月
著者 工藤 進英 昭和大学横浜市北部病院消化器センター
著者 森 悠一 昭和大学横浜市北部病院消化器センター
著者 池原 伸直 昭和大学横浜市北部病院消化器センター
著者 樫田 博史 昭和大学横浜市北部病院消化器センター
著者 浜谷 茂治 昭和大学横浜市北部病院病理部
【 要旨 】 大腸癌には腺腫を介さず正常粘膜から直接発生するde novo癌と,腺腫からadenomacarcinoma sequenceを経て発生する癌がある.本邦ではIIcをはめとする陥凹型病変こそがde novo癌であると考えられ,多くの検討が行われてきた.陥凹型病変はほかの肉眼型に比べて担癌率,SM浸潤率が高く腫瘍径が小さいうちに深部浸潤する特徴がある.これらの知見は本邦だけでなく欧米へも広がりつつある.
Theme Revaluation of de nove cancer
Title History concerning diagnosis of de novo cancer
Author Shin-ei Kudo Digestive Disease Center, Showa University Northern Yokohama Hospital
Author Yuichi Mori Digestive Disease Center, Showa University Northern Yokohama Hospital
Author Nobunao Ikehara Digestive Disease Center, Showa University Northern Yokohama Hospital
Author Hiroshi Kashida Digestive Disease Center, Showa University Northern Yokohama Hospital
Author Shigeharu Hamatani Department of Pathology, Showa University Northern Yokohama Hospital
[ Summary ] The "adenoma-carcinoma sequence" is conventionally considered to be a primary factor in the development of colorectal cancer. However, depressed type early cancers are considered to emerge directly from normal mucosa without going through adenomas. In Japan, depressed type lesions, such as IIc are considered to be de novo cancers. There has been a great deal of discussion concerning de novo cancer. Compared to other macroscopic forms, depressed type lesions characteristically have a high possibility of being cancer contain and haning submucosal invasion. They also become invasive as early on while still small. Recently, the importance of depressed type lesions has been widely recognized not only in Japan, but also in the West.
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