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- W2022794308 abstract "症例は64歳，男性．2002年に直腸癌にて腹会陰式直腸切断術を施行され，その後3回の肺転移巣切除を受けている．経過観察中，腹部CTにて膵頭部に約2cm大の腫瘤影を認めたため2008年2月当科紹介受診．各種画像検査を行い原発性膵管癌と転移性膵腫瘍が疑われたが確定診断困難であり，3月に手術施行．病変は膵頭部に限局しており亜全胃温存膵頭十二指腸切除を施行した．膵病巣は既往の直腸癌と肺転移巣に類似した中分化腺癌の像であり，免疫染色によるCK7陰性/CK20陽性の結果から大腸癌膵転移と診断した．大腸癌の膵転移は稀であり，本邦での異時性転移切除例は検索しえた限り本症例を含め25例に過ぎない．若干の文献的考察を加え報告する．" @default.
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- W2022794308 date "2009-01-01" @default.
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- W2022794308 title "A rectal cancer case with resection of pancreatic metastasis occurring after three pulmonary metastasis resections" @default.
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