CASE REPORT: A case of primary ileal carcinoma in a young woman and a review of the Japanese literature |
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Authors: | A HORIUCHI T AKAMATSU K MUKAWA Y OCHI K KIYOSAWA A SUGIYAMA T KATSUYAMA |
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Affiliation: | *Second Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan;†Department of Endoscopy, Shinshu University School of Medicine, Matsumoto, Japan;‡First Department of Surgery, Shinshu University School of Medicine, Matsumoto, Japan;§Department of Laboratory Medicine, Shinshu University School of Medicine, Matsumoto, Japan |
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Abstract: | We report a case of primary ileal carcinoma in a young woman, which was diagnosed definitively before operation. A 29-year-old woman presented with abdominal pain, diarrhoea and bloody stools. Colonoscopic and radiographic studies revealed that there was a 7.5 × 7 cm tumour (well-differentiated adenocarcinoma) at the terminal ileum, forming an ulcerated lesion at the centre. The tumour had invaded the caecum, the right urinary tract, the right ovary and a portion of the sigmoid colon. Fifty-three cases of primary ileal carcinoma were reported in Japan between 1982 and 1994 and their clinical features are reviewed herein. |
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Keywords: | carcinoma, ileum. |
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