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タイトル大腸癌肝転移および局所再発症例の臨床・病理学的検討
タイトルヨミダイチョウガン カン テンイ オヨビ キョクショ サイハツ ショウレイ ノ リンショウ ビョウリガクテキ ケントウ
タイトル別表記An evaluation of clinicopathplogical findings for molorectal cancer with liver metastasis and local recurrence
作成者久我, 貴之
沖野, 基規
守田, 信義
江里, 健輔
中山, 冨太
藤井, 安弘
作成者ヨミクガ, タカユキ
オキノ, モトノリ
モリタ, ノブヨシ
エサト, ケンスケ
ナカヤマ, トミタ
フジイ, ヤスヒロ
作成者別表記Kuga, Takayuki
Okino, Motonori
Morita, Nobuyoshi
Esato, Kensuke
Nakayama, Tomita
Fujii, Yasuhiro
作成者所属山口大学医学部
内容記述(抄録等)We studied colorectal cancers with early liver metastasis and local recurrence clinicopathologically and investigated factors relating to their prognoses. There were no significant difference between a recurrence group (R group) and a non-recurrence group (NR group) with regard to histological type, n-factor, ly-factor and preoperative CA19-9 level. Invasions of tumors through the bowel wall were pm in 1 case and ss・s・a_1・a_2 in 9 cases for NR group, and pm in 1, ss・s・a_1・a_2 in 3, and si. Ai in 3 for R group, with a significant difference (p=0.05). V-factors were vo in 3 cases and v_1 in 4 for R group, and vo in 9 and v_1 in 1 for NR group with a significant difference (p=0.06). Preoperative CEA levels were positive in 4 and negative in 3 for R group, and positive in 1 and negative in 9 for NR group, with a significant difference (p<0.05). With regard to postoperative CEA and CA 19-9 levels, significant differences were noticed between R and NR groups (p<0.01). We enphasize that postoperative chemotherapy should be associated with surgical resection of colorectal cancer which reveals deep invasion through the bowel wall, positive v-factor, and positive preoperative CEA level, in order to prevent from recurring. In addition we must not neglect efforts to find the recurrence in an early stage by means of measurments of postoperative CEA and CA 19-9 levels, and imagings.
本文言語jpn
主題医学
資料タイプtext
出版者山口大学医学会
出版者ヨミヤマグチ ダイガク イガッカイ
NII資料タイプ学術雑誌論文
査読の有無査読あり
ISSN0513-1731
NCIDAN00243156
学内刊行物(紀要等)山口医学
掲載誌名山口医学
40
4
開始ページ455
終了ページ459
発行日1991-08
著者版/出版社版その他
リポジトリIDB030040000401
地域区分山口大学
URIhttp://www.lib.yamaguchi-u.ac.jp/yunoca/handle/B030040000401