RAPID GROWTH OF A CARCINOSARCOMA OF THE GALLBLADDER
Copyright policy ) NAGASAKI, Kazuhito; YAMAFUJI, Kazuo; TAKESHIMA, Kaoru; ASAMI, Atsunori; KUBOCHI, Kiyoshi; AKATSUKA, Seiya;
RAPID GROWTH OF A CARCINOSARCOMA OF THE GALLBLADDER
患者は70歳，男性．下血を主訴に当院を受診．下部内視鏡検査にて結腸肝彎曲部に巨大な隆起性腫瘍を認め，腹部造影CT検査では胆嚢から横行結腸に跨るように約12cm大の腫瘤性病変を認めた．精査中も腫瘍は急速に増大し右季肋部に突出するようになった．結腸浸潤を伴う胆嚢癌の疑診断で手術を施行した．拡大胆嚢摘出術と右半結腸切除術を施行した．腫瘍は胆嚢内腔に充満しており，結腸内腔へ突出するように分葉状に発育していた．病理組織学的検査にて，真の胆嚢癌肉腫と診断された．術後23日目に退院したが，程なく局所再発をきたし，術後56日目に永眠した．胆嚢癌肉腫は本邦で48例が報告されたにすぎない稀な疾患であり，その臨床的および病理学的特徴につき，若干の文献的考察を加え報告する．
carcinosarcoma of the gallbladder, 胆嚢癌肉腫
carcinosarcoma of the gallbladder, 胆嚢癌肉腫
selected citations These citations are derived from selected sources.This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).2 popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.Average influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).Average impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.Average
selected citations
Citations provided by BIP!
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
Citations provided by BIP!popularityPopularity provided by BIP!
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
Popularity provided by BIP! 2
Average
Average
Average
gold
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