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- W2323639123 abstract "症例は65歳の男性で，1998年6月横行結腸癌に対して右半結腸切除術，D3リンパ節郭清を施行した．最終病理学診断は中分化型腺癌，ss，n3（＋），P0，H0，M（−），StageIIIbであった．原発巣切除後約3年後に肝S6に肝内胆管の拡張を伴う腫瘤を認め，大腸癌術後肝転移再発と診断し肝後区域切除術を施行した．さらに，その4年後に肝S3に新たに腫瘤を認め，前回同様肝内胆管の拡張を伴う2度目の大腸癌肝転移と診断し肝外側区域切除術を施行した．2度とも摘出標本にて肉眼的に胆管内を進展する腫瘍を認めた．病理学的には中分化型腺癌で原発巣病理所見と類似しており，最終的に肉眼的胆管内進展を伴う大腸癌肝転移と診断した．このような特徴を有する大腸癌肝転移は，腫瘍が進展した胆管を含む系統的肝切除を行い十分なsurgical marginを確保することで長期予後が期待できる症例であり，若干の文献的考察を加え報告する．" @default.
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- W2323639123 date "2010-01-01" @default.
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- W2323639123 title "A Case of Colonic Liver Metastases with Macroscopic Intrabiliary Tumor Extension" @default.
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- W2323639123 doi "https://doi.org/10.5833/jjgs.43.1234" @default.
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