INTESTINE Vol.6 No.3(3-2)


特集名 大腸カルチノイド -- 最新の治療戦略
題名 内視鏡的治療の適応と限界 (2) 経過観察例の解析から見た直腸カルチノイド内視鏡治療例の根治判定基準
発刊年月 2002年 05月
著者 小野川 靖二 広島大学医学部光学医療診療部
著者 田中 信治 広島大学医学部光学医療診療部
著者 高橋 亮吏 広島大学医学部第一内科
著者 岡 志郎 広島大学医学部光学医療診療部
著者 永田 信二 広島大学医学部光学医療診療部
著者 吉田 成人 広島大学医学部光学医療診療部
著者 吉原 正治 広島大学医学部第一内科
著者 茶山 一彰 広島大学医学部第一内科
著者 嶋本 文雄 広島大学医学部病理部
著者 春間 賢 川崎医科大学内科消化器II
【 要旨 】 要旨はありません。
Theme Colorectal carcinoid tumors -- New strategy of treatment
Title Curable conditions after endoscopic mucosal resection for rectal carcinoid tumor -- in relation to analysis of cases followed up in long-term post treatment
Author Seiji Onogawa Department of Endoscopy, Hiroshima University Hospital
Author Shinji Tanaka Department of Endoscopy, Hiroshima University Hospital
Author Ryoji Takahashi First Department of Internal Medicine, Hiroshima University School of Medicine
Author Shiro Oka Department of Endoscopy, Hiroshima University Hospital
Author Shinji Nagata Department of Endoscopy, Hiroshima University Hospital
Author Shigeto Yoshida Department of Endoscopy, Hiroshima University Hospital
Author Masaharu Yoshihara First Department of Internal Medicine, Hiroshima University School of Medicine
Author Kazuaki Chayama First Department of Internal Medicine, Hiroshima University School of Medicine
Author Fumio Shimamoto Department of Pathology, Hiroshima University Hospital
Author Ken Haruma Department of Gastroenterology, Department of Internal Medicine, Kawasaki Medical School
[ Summary ] In this study, we investigated the ninty nine rectal carcinoid tumors treated at Hiroshima University Medical Hospital and affiliated hospitals between 1977 and 2000. Eighty-six lesions were smaller than 10mm in diameter, and most of these small rectal carcinoids could be removed completely with endoscopic mucosal resection (EMR) or local surgical resection. Metastasis was recognized in six cases. All lesions were larger than 10mm in diameter, and displayed lymphatic vessel invasion. Four of these lesions, were accompanied by central depressions. It may be considered that lesions smaller than 10mm in diameter, confined to the submucosa, without vessel invasion, and without central depression can be completely cured with EMR alone.
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