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J.Jpn. Surg. Soc.. 82(3): 284-291, 1981


Original article

A CASE OF ENDOMETRIOID CARCINOMA ARISING FROM ENDOMETRIOSIS OF THE RECTOSIGMOID COLON AND REVIEW OF THE LITERATURE

Department of Surgery, Shiga Prefectural Center for Adult Disease., Shiga-ken
*) Department of Radiology, Shiga Prefectural Center for Adult Disease., Shiga-ken
**) Department of Internal Medicine, Shiga Prefectural Center for Adult Disease., Shiga-ken
***) Department of Healthwelfare, Shiga Prefectural Center for Adult Disease., Shiga-ken
****) Department of Pathology, Shiga Medical College., Shiga-ken

Toshihiko Yamada, Osamu Kitamura, Katsuhiro Tamura, Masafumi Kogire, Masuo Imura*), Tsutomu Tamaki**), Sadao Shirota***), Susumu Amano****)

A case of an endometrioid carcinoma arising from endometriosis of the rectosigmoid colon was reported. The patient, 44-year-old house wife, with the diagnosis of rectosigmoid tumor, underwent seccessfully anterior resection of the rectum and sigmoid colon. A wel-circumscribed, gray-white polypoid mass protruted into the bowel lumen.
Histological examination of the resected specimen revealed that several endometrial glandular tissue was in direct continuity with areas of the component of adenocarcinoma, with scattered foci of squamous cell metaplasia, fullfilling the Sampson’s criteria4). According to the foreign and Japanese literature, only 4 cases of bowel endometrioid carcinoma were found and the most of them had had past history of endometriosis of the ovaries.


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