A 64-year-old man presented with a weight loss of 10 kg over 1 year and insomnia. CT scan revealed an approximate 3.0 cm homogeneous low-density mass in the head of pancreas. Tumor markers including CEA, CA125, AFP and CA199 were not elevated. The patient’s serum levels of amylase, lipase and calcium were normal. The patient received the pancreatoduodenectomy on 3 March 2010 and the postoperati...

Inflammatory fibroid polyp(以下,IFP)が疑われ, 術前診断で IFPとの鑑別に苦慮した横行結腸脂肪腫 の1例を経験したので文献的考察を加え報告する. 症 例 症例:76歳,女性. 主訴:下腹部痛,軟便. 既往歴:1999年,子宮筋腫で子宮摘出術. 家族歴:特記すべき事項なし. 現病歴:2010年12月初旬より下痢,下腹部痛が出現 し,その後軟便が持続するため当院受診.大腸内視鏡 検査で横行結腸腫瘍を指摘され精査加療目的に当科紹 介となった. 家族歴:特記すべき事項なし. 現症:身長152.2cm,体重53.1kg,眼球結膜に貧血・ 黄疸を認めず.腹部は平坦・軟で腫瘤を触知しなかった. 入院時血液検査所見:血液一般,生化学検査で異常 を認めず,腫瘍マーカーはCEA:2.4ng/ml,CA199:7.4U/mlであり正常範囲内であった. 大腸内視鏡検査:横行...

Purpose: We investigated the role of prophylactic lymph node dissection (LND) in patients with intrahepatic cholangiocarcinoma (ICC). Methods: A retrospective analysis was performed evaluating the impact on survival of prophylactic LND and preoperative risk factors for histological lymph node metastasis (LNM) in a cohort of 49 patients with ICC of the mass-forming type, who underwent curative r...