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- W2516118008 startingPage "1513" @default.
- W2516118008 abstract "症例は73歳，男性．1カ月前から黒色便を自覚し当院を紹介受診した．上部消化管内視鏡検査にて，胃体上部小彎と体中部後壁にそれぞれ1型腫瘍，前庭部に0-IIc病変を認め，生検でそれぞれadenocarcinomaと診断された．胃全摘，脾合併切除術，D2リンパ節郭清，Roux-en-Y再建を施行した．病理組織学的検査所見では，体中部後壁の腫瘍に低分化腺癌の部分と乳頭腺癌の部分を認めた．各々の組織型の間には形態の移行像がなく，明らかな境界を認めたことから衝突癌と考えられた．また，低分化腺癌の部分は高度なリンパ球浸潤を伴っていたため，Epstein-Barr virus encoded small RNA(EBER-1)に対するin situ hybridization法を追加したところ，低分化腺癌の部分はEBV陽性，乳頭腺癌の部分はEBV陰性であった．以上より，乳頭腺癌とEpstein-Barr virus関連胃癌の衝突癌と診断した．" @default.
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- W2516118008 date "2010-01-01" @default.
- W2516118008 modified "2023-09-24" @default.
- W2516118008 title "GASTRIC COLLISION TUMOR OF ADENOCARCINOMA AND EPSTEIN-BARR VIRUS-RELATED CARCINOMA-A CASE REPORT-" @default.
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