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Ⅲa）との結果であったが，脈管浸潤著明で，一部粘膜下層に腫瘍細胞の蜂巣構造を認め，神経内分泌成分の存在が疑われる所見であった．術後経過は良好で第21病日に退院し，術後3ヶ月以上経過した現在も明らかな再発を疑う所見はない．本来は補助化学療法の適応であるが，心機能・腎機能の低下が認められ，画像検査を中心に経過観察する方針である．結腸内分泌癌は結腸癌全体の1％未満とまれである．生物学的悪性度は高く，早期に血行性・リンパ行性転移を伴い，極めて予後は不良である．今回神経内分泌成分を含む横行結腸癌の一例を，文献的考察を加えて報告する．","subitem_description_type":"Abstract"}]},"item_10002_heading_23":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"症例","subitem_heading_language":"ja"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"徳島赤十字病院"}]},"item_10002_relation_17":{"attribute_name":"関連サイト","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"徳島赤十字病院"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"http://www.tokushima-med.jrc.or.jp/hospital/medical/2011pdf/008.pdf","subitem_relation_type_select":"URI"}}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1346-9878 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