Neuroendocrine Tumor Arising From Meckel’s Diverticulum Unexpectedly Diagnosed After Diverticulectomy and in Which Multiple Lymph Node Metastases Were Found After Reoperation: A Case Report

URI http://repository.lib.tottori-u.ac.jp/Repository/metadata/5518
本文ファイル
DOI[info:doi/]
タイトル
Neuroendocrine Tumor Arising From Meckel’s Diverticulum Unexpectedly Diagnosed After Diverticulectomy and in Which Multiple Lymph Node Metastases Were Found After Reoperation: A Case Report
タイトル読み
タイトルその他
著者
著者 Sugezawa Ken
著者読み
著者英語Author Sugezawa Ken
所属Affiliation Division of Surgical Oncology, Department of Surgery, School of Medicine, Tottori University Faculty of Medicine
著者 Saito Hiroaki
著者読み
著者英語Author Saito Hiroaki
所属Affiliation Division of Surgical Oncology, Department of Surgery, School of Medicine, Tottori University Faculty of Medicine
著者 Kono Yusuke
著者読み
著者英語Author Kono Yusuke
所属Affiliation Division of Surgical Oncology, Department of Surgery, School of Medicine, Tottori University Faculty of Medicine
著者 Murakami Yuki
著者読み
著者英語Author Murakami Yuki
所属Affiliation Division of Surgical Oncology, Department of Surgery, School of Medicine, Tottori University Faculty of Medicine
著者 Shishido Yuji
著者読み
著者英語Author Shishido Yuji
所属Affiliation Division of Surgical Oncology, Department of Surgery, School of Medicine, Tottori University Faculty of Medicine
著者 Kuroda Hirohiko
著者読み
著者英語Author Kuroda Hirohiko
所属Affiliation Division of Surgical Oncology, Department of Surgery, School of Medicine, Tottori University Faculty of Medicine
著者 Matsunaga Tomoyuki
著者読み
著者英語Author Matsunaga Tomoyuki
所属Affiliation Division of Surgical Oncology, Department of Surgery, School of Medicine, Tottori University Faculty of Medicine
著者 Fukumoto Yoji
著者読み
著者英語Author Fukumoto Yoji
所属Affiliation Division of Surgical Oncology, Department of Surgery, School of Medicine, Tottori University Faculty of Medicine
著者 Osaki Tomohiro
著者読み
著者英語Author Osaki Tomohiro
所属Affiliation Division of Surgical Oncology, Department of Surgery, School of Medicine, Tottori University Faculty of Medicine
著者 Fujiwara Yoshiyuki
著者読み
著者英語Author Fujiwara Yoshiyuki
所属Affiliation Division of Surgical Oncology, Department of Surgery, School of Medicine, Tottori University Faculty of Medicine
キーワード
lymph node metastasis
Meckel’s diverticulum
neuroendocrine tumor
NDC分類
4類 自然科学
内容

A 47-year-old man with progressive anemia possibly due to digestive tract bleeding was referred to our hospital. Contrast-enhanced computed tomography of the abdomen showed a 2-cm tumor lesion arising near the small intestine. Enteroscopy revealed a 3-cm submucosal tumor at the ileum. A gastrointestinal stromal tumor of the small intestine was suspected, and the patient underwent surgery. During the operation, a diverticulum approximately 60 cm orad to the terminal ileum and a tumor at the top of the diverticulum were observed. Considering the location, Meckel’s diverticulum was suspected. No lymphadenopathy was present in the mesentery. Laparoscopy-assisted resection of the diverticulum without lymph node dissection was performed. The histological diagnosis of the tumor was a well-differentiated neuroendocrine tumor. Given the possibility of lymph node metastasis, we performed a second operation to remove the small intestine and lymph nodes. Histologically, 7 of the 18 dissected lymph nodes were metastatic. he postoperative course was uneventful, and the patient survived without tumor recurrence for another 2 years 8 months. Neuroendocrine tumors of Meckel’s diverticulum are aggressive. Therefore, small intestinal resection along with lymph node dissection might be necessary as part of the surgical strategy.

出版者
Tottori University Faculty of Medicine
資料タイプ
紀要論文
外部リンク
ISSN/ISBN
0513-5710
書誌ID
AA00892882
掲載誌・書籍タイトル
Yonago Acta Medica
60
4
開始ページ
251
終了ページ
254
発行日
2018-02-05
DOI
出版社版
著作権表記
掲載情報

Yonago Acta Medica. 2017, 60(4), 251-254

学部学科区分
医学研究科・医学部
本文言語
英語
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