@article{oai:kanazawa-u.repo.nii.ac.jp:00026855, author = {林, 武弘 and 鷹取, 元 and 北村, 和哉 and 加賀谷, 尚史 and 酒井, 佳夫 and 中村, 慶史 and 藤田, 秀人 and 藤村, 隆 and 北村, 星子 and 金子, 周一}, issue = {10}, journal = {日本消化器内視鏡学会雑誌 = Gastroenterological endoscopy}, month = {Jan}, note = {A 62-year-old woman was admitted to our hospital because of lower intestinal bleeding. The diagnosis of Meckel's diverticulum was made by small bowel imaging and transanal double-balloon enteroscopic examination. Partial resection of the ileum was performed. Pathological examination of the resected specimen showed proliferation of spindle-shaped cells in the wall of the diverticulum. The tumor was diagnosed as a gastrointestinal stromal tumor (GIST) by reason of immunohistochemical staining that was positive for c-kit and CD34 and negative for desmin and S-100. The coexistence of Meckel's diverticulum and GIST is considered to be rare. However, when Meckel's diverticulum is diagnosed, the possibility of the coexistence of neoplastic diseases should be kept in mind. 症例は62歳女性.新鮮血下血にて受診した.小腸造影,経肛門的ダブルバルーン内視鏡にてMeckel憩室と診断し,回腸部分切除術を施行した.術後の病理組織において憩室壁内に紡錘形細胞の増殖を認めた.免疫染色においてc-kit陽性,CD34陽性,desmin陰性,S-100陰性でありGastrointestinal stromal tumor(GIST)と診断した.Meckel憩室壁内にGISTを合併することはまれであるが,Meckel憩室の診断に至った際には,随伴する腫瘍合併の可能性も念頭に置き,検索を進める必要がある.}, pages = {3382--3388}, title = {消化管出血を契機に発見されたMeckel憩室に発生した壁内発育型小腸Gastrointestinal stromal tumorの1例}, volume = {55}, year = {2013} }