1. Nodule-aggregating lesion of the ileum: Report of a case and a review of the literature.
- Author
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Sakamoto, Norikazu, Fujisawa, Takashi, Maeda, Mitsuo, Sakaguchi, Kazuhiko, Onishi, Yutaka, Kuroda, Shoji, Toyoda, Masanori, Teranishi, Tetsuya, Miyamoto, Katsufumi, Kawaraya, Nobuaki, Kusumoto, Chosei, and Nishigami, Takashi
- Subjects
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ILEUM , *CANCER , *COLONOSCOPY - Abstract
We describe here a rare case of nodule-aggregating lesion of the terminal ileum detected by colonoscopy. An 82-year-old Japanese woman was admitted to our hospital with diarrhea. Colonoscopy revealed a flat elevated tumor with conglomerated nodular surface involving the entire circumference of the terminal ileum, suggesting a nodule-aggregating lesion. Magnifying the colonoscopic view showed the branch-like or gyrus-like pits. On biopsy, the tumor was diagnosed as a tubulovillous adenoma. Retrograde ileogram using a colonoscope revealed an elevated tumor with nodular irregularity, measuring 5 cm in length. Ileocecal resection was performed. Macroscopically, the tumor in the terminal ileum, 8 cm distant from the ileocecal valve, showed a nodule-aggregating lesion, measuring 44 × 60 × 6 mm in size. Histologically, the tumor showed a focal carcinoma in tubulovillous adenoma. To our knowledge, this is the fifth case of early cancer of the ileum in Japan, and the first case of nodule-aggregating lesion of the ileum detected by colonoscopy in the world. [ABSTRACT FROM AUTHOR]
- Published
- 2001
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