Kimihiko Yoshida, Mitsunori Ushigome, Nobuto Yamazaki, Teruki Yamakawa, Yasuyuki Miura, Takayuki Suzuki, Satoru Kagami, Tomoaki Kaneko, Akiharu Kurihara, Naobumi Tochigi, Kimihiko Funahashi
A 27-year-old man was referred to our hospital for a detailed examination of abdominal distention, bloody stool, anorectal pain, and weight loss. A colonoscopy revealed a circumferential type 2 tumor at 9 cm from the anal verge which was diagnosed as an adenocarcinoma based on biopsy. Contrast-enhanced CT of the abdomen showed an elevated perineal lipid concentration in the rectum(Ra)which was suspicious for clinical T4a stage, and simultaneous S7/8 liver metastasis. We strongly suspected familial adenomatous polyposis(FAP)because his mother had a past history of total proctocolectomy for FAP...
December 2023: Gan to Kagaku Ryoho. Cancer & Chemotherapy