A Case of Endometriosis of the Ascending Colon with Extension to Multiple Regional Lymph Nodes
Case report
OA: diamond
CC0
AI-generated summary
This case report describes a 47-year-old woman with ascending colon endometriosis extending to multiple regional lymph nodes, confirmed by pathology after surgical resection.
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Abstract
症例は47歳，女性．3年前に他院で子宮内膜症と子宮筋腫に対し左付属器切除，子宮摘出術の既往がある．発熱と右下腹部痛を主訴に当院を受診した．血液検査で炎症反応の上昇を認めたが，腫瘍マーカーは正常値だった．腹部造影CTで上行結腸に接して，造影効果の高い約6cmの壁外発育性の腫瘤を認めた．大腸内視鏡検査では，明らかな粘膜病変は認めなかった．悪性腫瘍も否定できないことから開腹手術を行った．結腸間膜内に上行結腸と横行結腸に付着した球型の腫瘤を認め，所属リンパ節も目立ったことから，D3リンパ節郭清を含む結腸右半切除術を施行した．病理組織検査では，上行結腸の筋層内に子宮内膜組織が散在し，上行結腸子宮内膜症と診断した．所属リンパ節13個にも子宮内膜組織を認め，その分布からリンパ行性に内膜組織が進展したと考えられた．腸管子宮内膜症に所属リンパ節病変を伴うものは稀であり，文献的考察を加え報告する．
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Citation neighborhood (2-hop)
Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]
References (5)
- Intestinal endometriosis. A report of 29 cases and a survey of the literature via crossref
- Intestinal endometriosis. A report of 29 cases and a survey of the literature via openalex
- Present conception of endometriosis and its treatment via openalex
- Rectal endometriosis with invasion into lymph nodes via crossref
- Rectal endometriosis with invasion into lymph nodes via openalex
Source provenance
- crossref
- last seen: 2026-08-13T06:47:04.944395+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0
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