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Two cases of circumferential rectal invasion from prostatic cancer
Authors:Imamura Takako  Shimaoka Shunji  Tashiro Koutarou  Niou Tatsuyuki  Nishimata Nobuaki  Tsukasa Kouichirou  Torimaru Hiromitsu  Matsuda Akio  Niihara Toru  Nishimata Yoshito  Hori Masahide  Nishimata Hiroto  Tanaka Sadao
Affiliation:Department of Gastroenterology, Nanpuh Hospital, Japan. takako-k@ba3.so-net.ne.jp
Abstract:We report two cases of prostatic cancer invading the rectum with circumferential rectal wall thickening. In both cases, reddish and uneven edematous mucosa was observed by colonoscopy and the boundary of the lesion was indistinct. No mass or ulcer formation was not observed. CT scan showed irregular prostatic swelling and circumferential rectal wall thickening adjacent to the prostate. The rectal biopsy specimen showed moderately to poorly differentiated adenocarcinoma, and it was positive on PSA immunostaining. Although rectal invasion of prostatic cancer is relatively rare, it is important to be aware that prostatic cancer can cause circumferential stenosis of the rectum.
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