Publication Information

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{'症例は82歳，女性．半年前に肛門部の腫瘤と排便時出血を主訴に前医を受診．内痔核と肛門周囲の母斑を指摘された．数カ月後，肛門周囲の症状が持続するため生検を行いPaget病の診断となった．再度，直腸の精査を行い，歯状線上に直腸癌を認め当科へ紹介となった．（術式）腹腔鏡下直腸切断術，人工肛門造設術，両側側方リンパ節郭清術．（病理）Poorly': [0], 'differentiated': [1], 'adenocarcinoma，pStage': [2], 'III': [3], 'a.4IH:CEA（+），CK7（+），CK20（+），GCDFP15（-），CAM5.2（+）．以上より，Paget現象を伴った直腸癌の診断となった．外陰部や肛門周囲に発生した乳房外Paget病患者に対しては，積極的な隣接臓器の精査が重要である．': [4]}, 'cited_by_api_url': 'https://api.openalex.org/works?filter=cites:W2320531246', 'counts_by_year': [{'year': 2016, 'cited_by_count': 1}], 'updated_date': '2024-12-13T21:42:33.379935', 'created_date': '2016-06-24'}