Annals of Coloproctology

Volume 23(1); February 2007

Original Articles

Early Experience with a Stapled TransAnal Rectal Resection for Obstructed Defecation Syndrome.: Shin, Jong Keun , Kwak, Chang Shin , Park, Jung Soo , Choi, Sung Il , Lee, Jae Bum , Park, Hyun Joo , Lee, So Jin , Lee, Doo Han , Kim, Do Sun; J Korean Soc Coloproctol. 2007;23(1):1-9.; DOI: https://doi.org/10.3393/jksc.2007.23.1.1

1,630 View
27 Download

Abstract PDF: PURPOSE
This study was designed to assess the early outcome of a stapled transanal rectal resection (STARR) in obstructed defecation syndrome (ODS) patients with rectocele and rectal intussusception.
METHODS
From January to December in 2005, 41 patients with the symptoms of obstructed defecation and the findings of rectocele and rectal intussusception in defecography, who failed in conservative management, were enrolled in this study. All patients underwent the STARR procedure. Preoperatively all patients received colonoscopy, a colon transit time test, cinedefecography, etc. The constipation score was evaluated by using the Cleveland Clinic Florida (CCF) constipation score preoperatively and at 1 month and 3 months after operation.
RESULTS
The mean age of the patients was 55.3 (19~76) years. There were three males and thirty-eight females. The mean operation time was 39.3 (25~80) minutes, and the mean hospital stay was 4.2 (4~6) days. Complications were fecal urgency in 9 cases (21.9%), which improved after 3 months, bleeding in 5 cases (12.2%), and anastomotic stenosis in 1 case (2.4%). At postoperative defecography, both intussusception and rectocele had disappeared in most patients. All constipation symptoms were significantly improved (P < 0.01). The mean CCF constipation score was 17.6 (11~24) preoperatively, and improved to 9.1 after 1 month and 8.2 after 3 months (P < 0.01). The overall patient satisfaction was graded as excellent, good, fairly good and poor in 19 cases (46.3%), 13 cases (31.7%), 4 cases (9.7%), and 5 cases (12.2%), respectively.
CONCLUSION
The STARR procedure seems to be a safe and effective procedure in ODS patients with rectocele and rectal intussusception. However, further study of the long-term results is required.

Clinical Outcome of a Rectovaginal Fistula in Crohn's Disease.: Chung, Choon Sik , Lee, Dong Keun , George, Bruce D , Mortensen, Neil J; J Korean Soc Coloproctol. 2007;23(1):10-15.; DOI: https://doi.org/10.3393/jksc.2007.23.1.10

2,112 View
13 Download
3 Citations

PURPOSE
The aim of this study is to analyze the outcome of a variety of treatments, including local surgical treatments, diverting stoma, and combined medical therapy, for patients with a rectovaginal fistula complicating Crohn's disease.
METHODS
Between 1994 and 2003, twenty-one patients with a rectovaginal fistula complicating Crohn's disease from a prospectively compiled 422-patient Crohn's disease database were reviewed.
RESULTS
All three patients treated by seton and fibrin glue recurred despite having relatively long tracts. Of six patients with infliximab treatment combined with a seton procedure, five patients had an improvement of their symptoms, but were not cured. Of eight patients with a transanal or endovaginal advancement flap techniques, three had successful closure, three eventually required a proctectomy, and two had a recurrent fistula without symptoms. Four (2 without any local treatments, and 2 with seton placement) of 16 patients who had a diverting stoma during treatment had successful closure. All proctectomy patients (n=8) had rectal involvement of Crohn's disease. Two patients who underwent a proctectomy with a presumptive diagnosis of ulcerative colitis and indeterminate colitis turned out to have Crohn's disease. Overall, except for the proctectomy patients, seven patients (54%) had successful closure, but six (four without symptoms, and two with symptoms) following a wide spectrum of treatments had recurrence after a mean follow-up of 44 months.
CONCLUSIONS
Combining different treatments for a rectovaginal fistula in Crohn's disease can be successful in a reasonable number of cases. The presence of uncontrolled perianal sepsis and/or complicated anorectal problems is likely to lead to a proctectomy.

Citations

Citations to this article as recorded by

Guidelines for the Management of Crohn's Disease
Byong Duk Ye, Suk-Kyun Yang, Sung Jae Shin, Kang Moon Lee, Byung Ik Jang, Jae Hee Cheon, Chang Hwan Choi, Young-Ho Kim, Heeyoung Lee
Intestinal Research.2012; 10(1): 26. CrossRef
Guidelines for the Management of Crohn's Disease
Byong Duk Ye, Suk-Kyun Yang, Sung Jae Shin, Kang Moon Lee, Byung Ik Jang, Jae Hee Cheon, Chang Hwan Choi, Young-Ho Kim, Heeyoung Lee
The Korean Journal of Gastroenterology.2012; 59(2): 141. CrossRef
Long-term results in the treatment of fistula-in-ano with fibrin glue: a prospective study
Göktürk Maralcan, İlyas Başkonuş, Avni Gökalp, Ersin Borazan, Ahmet Balk
Journal of the Korean Surgical Society.2011; 81(3): 169. CrossRef

Small Bowel Obstruction in Patients without a Previous History of Abdominal Operation.: Chung, Il Yong , Moon, Sang Hui , Park, Hyung Chul , Park, Kyu Joo; J Korean Soc Coloproctol. 2007;23(1):16-21.; DOI: https://doi.org/10.3393/jksc.2007.23.1.16

1,630 View
12 Download

Abstract PDF: PURPOSE
Intra-abdominal adhesion related to prior abdominal surgery is the most common cause of small bowel obstruction (SBO). However, there are subsets of patients with SBO without a history of previous operation. We studied the characteristics of these patients.
METHODS
The medical records of 311 patients underwent operations at Seoul National University Hospital between Jan. 1994 and Oct. 2005 were reviewed. A retrospective analysis of the incidence, etiology, diagnostic method, preoperative hospital stay, operative findings and methods, complication rates, postoperative hospital stay, re-admission rate, and reoperation rate of SBO was performed, and the results were compared with those of patients with a history of previous operation.
RESULTS
Among the 311 patients (54.4 +/- 14.7 yr, M:F=1.5:1), 48 patients (15.3%) had no history of operation. The etiologies of SBO without a history of operation were malignancy (23.0%), bezoar (14.5%), adhesion (10.4%), Crohn's disease (10.4%), tuberculosis (8.3%), and appendicitis (8.3%). SBO without prior abdominal surgery showed a longer preoperative hospital stay, which was not statistically significant. The accuracies of CT and small bowel series among patients without a history of operation were 68.4% and 54.5%, respectively. SBO without prior abdominal surgery showed a lower complication rate (8.3% vs. 26.6%, P=0.006) and shorter postoperative hospital stays (12.7 +/- 6.9 days vs. 16.1 +/- 10.4 days, P=0.032).
CONCLUSIONS
Among the patients who underwent an operation for SBO, 15.3% had no history of previous operation. The most common cause of SBO without a history of operation was malignancy. SBO without a history of operation showed a lower complication rate and a shorter postoperative hospital stay compared with SBO with a history of operation.

Clinical Analysis of the Hemorrhoidectomy with Pure Local Anesthesia.: Oh, Chang Seok , Lee, Yong Jik , Ko, Soo Jong , Lee, Young Taek; J Korean Soc Coloproctol. 2007;23(1):22-27.; DOI: https://doi.org/10.3393/jksc.2007.23.1.22

1,407 View
10 Download

Abstract PDF: PURPOSE
We hoped to evaluate the possibility of substitution of the local anesthesia for the spinal anesthesia in hemorrhoidectomy.
METHODS
We did Milligan-Morgan hemorrhoidectomy under local anesthesia for the sixty- eight patients from January 1998 to December 2005. These patients were compared with seventy-nine patients of spinal anesthesia, sampled with similar gender, age, a surgeon, retrospectively. We used a mixture of 0.5% lidocaine and 1:200,000 epinephrine into perianal skin and intersphincteric space.
RESULTS
The male-to-female ratio was 1:1 in local anesthesia group and 1:0.84 in spinal anesthesia group. The mean age was 50 and 46 respectively. The number of excised pile was 3.9 and 3.8 respectively. The frequency of the analgegics injected within first 24 hours was 1.79 and 2.70 respectively (P=0.001). The frequency of the urinary catheterization was 0.07 and 0.69 respectively (P < 0.001). The first bowel movement after surgery was 1.2 days and 1.6 days respectively. The hospital stay was 6.4 days and 8.1 days respectively (P=0.06). CONCLUISIONS: Local anesthesia is simple, safe and effective in the hemorrhoidectomy.

Loop Colostomy with Not Everted Fashion for Rectal Cancer.: Kim, Kyung Ha , Kim, Hyun Tae , Ha, Tae Geun , Shin, Jin Yong , Kim, Woon Won , Hong, Kwan Hee; J Korean Soc Coloproctol. 2007;23(1):28-33.; DOI: https://doi.org/10.3393/jksc.2007.23.1.28

1,547 View
9 Download

Abstract PDF: PURPOSE
An anastomotic leak after resection of rectal cancer is a omnious complication. The diverting stoma is performed to avoid this serious complication. However, a diverting stoma and a stoma reversal are associated with significant morbidity and a small mortality. As stoma-related complications are associated with a delay of adjuvant therapy for advanced rectal cancer, minimal stoma-related morbidity is mandatory for rectal cancer patients. A safe and simple dissection of the stoma is known to be associated with less morbidity at stoma closure. Since in a loop colostomy of a not everted fashion, it is easy to construct and dissect the peristomal site at colostomy reversal, this study evaluated the usefulness of a protective loop colostomy of a not everted fashion in rectal cancer.
METHODS
We reviewed the clinical records of 71 cases of loop colostomy closure for rectal cancer between January 1996 and December 2004. The clinical data, including indications for the stoma, the clinicopathologic features of the patients and their general conditions, the data for patients receiving adjuvant therapy, stoma-related morbidity, stoma-closure-related morbidity, and perioperative data were examined.
RESULTS
Indications for stoma creation are the discretion of the surgeon (n=22), poor bowel preparation (n=21), unstable anastomosis (n=16), bowel obstruction (n=6), and anastomotic leakage (n=6). The stoma-related morbidity rate for a non-eversion colostomy was 5.6%. Morbidity events were peristomal erythema (n=2), prolapse (n=1), and parastomal hernia (n=1) requiring surgery. The stoma-closure-related morbidity rates was 9.9%. In the 45 patients undergoing adjuvant therapy, colostomy closure was performed during adjuvant therapy in 39 patients. Major complications, such as anastomotic leakage or abscess following reversal of the non-eversion colostomy, occurred in 1 of the 71 patients (1.4%). The average operating time and the blood loss for clostomy closure were 89.5 minutes and 202.3 ml, respectively. A simple closure of the loop colostomy was performed in 51 patients (71.8%).
CONCLUSIONS
Based on our results, a non-eversion colostomy may be considered due to the ease of construction and reversal if a temporary diverting stoma for rectal cancer is indicated.

Prognostic Significance of p27(kip1) Expression in Node Negative Colorectal Carcinoma.: Song, Sang Hyun , Bae, Byung Noe , Lee, Woo Yong , Yang, Keun Ho , Kim, Ki Hwan , Han, Se Hwan , Kim, Hong Ju , Kim, Young Duk , Kim, Hong Yong , Kim, Jung Yeon; J Korean Soc Coloproctol. 2007;23(1):34-40.; DOI: https://doi.org/10.3393/jksc.2007.23.1.34

1,361 View
7 Download

Abstract PDF: PURPOSE
Dukes' A & B colorectal cancer patients are often excluded from adjuvant chemotherapy following potentially curative surgery because they are expected to have good long-term survival. However, actually 20 ~ 30% of these patients suffer from recurrent disease, so it would be helpful for these patients of recurrent disease to be able to select a high risk group.
METHODS
In 78 Dukes' A & B colorectal cancers, we investigated by immunohistochemistry the role of molecular markers, such as p27(kip1), p53, Ki-67, and Skp2, in identifying high-risk patients.
RESULTS
Patients with low p27(kip1) expression showed poor overall survival compared to those with high p27(kip1) expressions (55.3 versus 66.7 months, P=0.018). The only significant factor associated with p27(kip1) expression was p53 expression. The low p27(kip1) expression and positive p53 expression group had poor overall survival (54.3 months, P=0.036). CONCLISIONS: In a node-negative colorectal carcinoma, the molecular marker p27(kip1) does not play an independent prognostic role, but it may have prognostic significance in correlation with other markers such as p53, Ki-67, and Skp2. The assessment of molecular alterations may be useful to node-negative colorectal patients in identifying the high risk group that may benefit from adjuvant chemotherapy.

The Early Experience of Laparoscopic Sigmoid Colon and Rectal Cancer Resection.: Park, Jung Kyu , Park, Joon Beom , Seong, Seung Hoon , Kim, Ik Yong , Kim, Dae Sung; J Korean Soc Coloproctol. 2007;23(1):41-45.; DOI: https://doi.org/10.3393/jksc.2007.23.1.41

1,604 View
10 Download
1 Citations

Abstract PDF

PURPOSE
The aim of this study is to assess the pathologic surgical outcome and short-term outcome of a laparoscopic colorectal resection at an early time on the learning curve in comparison with open surgery.
METHODS
Retrospectively collected data were obtained on 49 patients who underrent a laparoscopic sigmoid colon and rectal cancer resection between May 2001 and January 2006. The compared factors were the clinicopathologic characteristics, the operation time, the postoperative recovery, and complications.
RESULTS
There were no significant differences in age, sex, TNM stage, and tumor size between the laparoscopic and open-surgery groups. The operation time was significantly longer in the laparoscopic group (291.4 vs. 201.9 min P < 0.001). In the view point of postoperative recovery, the laparoscopic group showed a significant advantage in the passage of flatus. There were no significant differences in harvested LNs, proximal margin, and distal margin between the two groups. The complication rate was not significantly different, but anastomotic leakage was higher in the laparoscopic group (16.7% vs. 2%, P=0.02).
CONCLUSIONS
There were no significant differences in harvested LNs, proximal margin, and distal margin between the two groups, but anastomotic leakage was higher in the laparoscopic group.

Citations

Citations to this article as recorded by

Short-Term Outcome of Curative One-Stage Laparoscopic Resection for Obstructive Left-Sided Colon Cancers Followed by Stent Insertion: Comparative Study with Non-Obstructive Left-Sided Colon Cancers
Hyun Sil Kim, Sung Geun Kim, Chang Hyuk Ahn, Won Kyung Kang, Yun Seok Lee, In Kyu Lee, Hyung-Jin Kim, Sang Cheol Lee, Hyeon Min Cho, Jong Kyung Park, Seong Taek Oh, Jun-Gi Kim
Journal of the Korean Society of Coloproctology.2009; 25(6): 417. CrossRef

Effect on the Local Recurrence and the Survival of Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection in Rectal Cancer.: Choi, Byung Gwan , Kim, Hyung Soo , Seo, Kyeong Won , Ju, Jae Kyoon , Ryu, Seong Yeob , Park, Young Kyu , Kim, Hyeong Rok , Kim, Dong Yi , Kim, Young Jin; J Korean Soc Coloproctol. 2007;23(1):46-52.; DOI: https://doi.org/10.3393/jksc.2007.23.1.46

1,580 View
10 Download

Abstract PDF: PURPOSE
One of the most common sites of recurrence after a curative resection of rectal cancer is the pelvis, and local control is a major goal of surgical treatment. The advantages of lateral pelvic lymph node dissection are regarded as questionable because lateral pelvic lymph node metastasis does not occur so frequently and because a lateral lymphadenectomy has a negative influence on the postoperative quality of life. The aim of this study was to clarify if lateral pelvic lymph node dissection (LPLD) conferred any benefit.
METHODS
A total of 769 patients who underwent curative surgery for rectal cancer between 1981 and 2005 at the Department of Surgery, OOO Hospital, were reviewed retrospectively. One hundred ninety-three of these patients underwent a lateral pelvic lymph node dissection, and 576 patients had a total mesorectal excision with high ligation of the IMA.
RESULTS
There was no difference in pathological characteristics between the two groups. Patients who underwent a lateral pelvic lymph node dissection had no statistically significant difference in terms of the 5-year survival rate at stage II and III (64% vs 65% at stage II, P=0.391; 49% vs 47% at stage III, P=0.815).
CONCLUSIONS
A lateral pelvic lymph node dissection has no advantage as part of a standard operation for rectal cancer. A total mesorectal excision alone has good local control and survival compared with a lateral pelvic lymph node dissection.

Pulmonary Resection for Metastases from Colorectal Cancer: Prognostic Factors and Survival.: Yi, Loo Ji , Lee, Won Suk , Yun, Seong Hyeon , Chun, Ho Kyung , Lee, Woo Yong , Yun, Hae Ran , Kim, Jhin Gook , Kim, Kwhan Mien , Shim, Young Mog; J Korean Soc Coloproctol. 2007;23(1):53-59.; DOI: https://doi.org/10.3393/jksc.2007.23.1.53

1,632 View
10 Download
1 Citations

Abstract PDF

PURPOSE
Pulmonary metastases occur in up to 10% of all patients who undergo a curative resection for colorectal cancer. Surgical resection is an important part in the treatment of pulmonary metastasis from colorectal cancer. We analyzed the treatment outcome and the prognostic factors affecting survival in this subset of patients.
METHODS
Between October 1994 and December 2004, 59 patients underwent a curative resection for pulmonary metastases from colorectal cancer. Uncontrollable synchronous liver and lung metastasis or synchronous colorectal cancers with isolated lung metastasis were excluded from this study. A retrospective review of the patients' characteristics and of factors influencing survival was performed. Survival was analyzed by using the Kaplan-Meier method. Comparisons between the groups were performed by using a log-rank analysis and the Cox proportional hazard model.
RESULTS
The 5-year overall survival rate of all patients who received a pulmonary resection was 50.3%. The number of pulmonary metastases was significantly related with survival (P=0.032). A pre-thoracotomy CEA level exceeding 5 ng/ml was related with poor survival (P=0.001). A disease- free interval of greater than 2 years did not correlate with survival after a thoracotomy (P=0.3).
CONCLUSIONS
The pre-thoracotomy CEA level and the number of metastases were independent prognostic factors. Resection of a pulmonary metastasis from colorectal cancer may result in improved survival or even cure in selected patients. A pulmonary resection of colorectal cancer is regarded as a safe and effective treatment with low morbidity and mortality rates.

Citations

Citations to this article as recorded by

Surgical Resection for Lung Metastases from Colorectal Cancer
Hyung Jin Kim, Bong-Hyeon Kye, Jae Im Lee, Sang Chul Lee, Yoon Suk Lee, In Kyu Lee, Won Kyung Kang, Hyeon-Min Cho, Seok Whan Moon, Seong Taek Oh
Journal of the Korean Society of Coloproctology.2010; 26(5): 354. CrossRef

Mucinous Adenocarcinoma of the Colon and Rectum.: Kim, Kab Choong , Kim, Duck Woo , Park, Hyung Chul , Park, Jae Gahb; J Korean Soc Coloproctol. 2007;23(1):60-64.; DOI: https://doi.org/10.3393/jksc.2007.23.1.60

1,668 View
14 Download
1 Citations

Abstract PDF

PURPOSE
This study was to evaluate and compare the clinical characteristics of a mucinous adenocarcinoma with those of a non-mucinous adenocarcinoma in colorectal cancer patients.
METHODS
Data were retrospectively reviewed on 3,232 colorectal cancer patients, including 221 mucinous adenocarcinoma patients (6.1%), who received surgery between 1990 and 2003.
RESULTS
The mean tumor size (6.5 cm) of the mucinous adenocarcinomas was bigger than that (5.2 cm) of the non-mucinous adenocarcinomas. The locations of the mucinous adenocarcinomas were 95 (48.2%) in the proximal colon, 35 (17.8%) in the distal colon, and 67 (34.0%) in the rectum whereas those of the non-mucinous adenocarcinomas were 559 (18.9%) in the proximal colon, 861 (29.2%) in the distal colon, and 1,533 (51.9%) in the rectum. Stage distribution was as follows: In mucinous adenocarcinomas, 7 stage A (3.3%), 84 stage B (39.3%), 76 stage C (35.5%), and 47 stage D (21.9%). In non-mucinous adenocarcinomas, 447 stage A (15.2%), 1,036 stage B (35.1%), 997 stage C (33.8%), and 469 stage D (15.9%). In the univariate analysis, the overall 5-year survival rate of patients with a mucinous adenocarcinoma was lower than that of patients with a non-mucinous adenocarcinoma (60% vs. 65%, P=0.016), but survival rates for each stage were not significantly different. The difference in recurrence rates was not statistically significant (33.3% vs. 24.2%, P=0.258). A multivariate analysis showed that the mucinous histologic type was not useful as an independent prognostic factor.
CONCLUSIONS
Mucinous colorectal adenocarcinomas tend to be large, exist in a proximal location, have an advanced stage at diagnosis. The difference in survival rates for each stage was not statistically significant. A mucinous histologic type was not an independent prognostic factor.

Citations

Citations to this article as recorded by

Analysis of Prognosis in Colorectal Mucinous Adenocarcinoma: A Retrospective Analysis with Peritoneal Fluid
Seung Bong Choi, In Kyu Lee, Dae Youn Won, Yoon Suk Lee, Yoon Si, Sang Chul Lee, Won Kyung Kang, Jong Kyung Park, Chang Hyeok Ahn, Jun-Gi Kim, Seong Taek Oh
Journal of the Korean Surgical Society.2010; 79(6): 474. CrossRef

Case Report

Carcinoid Tumor Arising within a Tailgut Cyst: A Case Report.: Lee, Chul Min , Lee, Seung Hyun , Jeon, Chang Wan , Ahn, Byung Kwon , Baek, Sung Uhn; J Korean Soc Coloproctol. 2007;23(1):65-67.; DOI: https://doi.org/10.3393/jksc.2007.23.1.65

1,872 View
12 Download
9 Citations

Abstract PDF

Tailgut cysts are rare congenital lesions. They are believed to develop from remnants of the embryonic hindgut. Malignancy in tailgut cyst is extremely unusual. We experienced a case of a carcinoid tumor arising within a tailgut cyst at the presacral space. A 40-year-old woman was admitted for acute anal pain. Digital rectal examination revealed a 2-cm-sized submucosal tumor in the posterior midline rectum 4 cm above the anal verge. On sigmoidoscopic examination, the overlying rectal mucosa seemed to be intact. We performed a transanal incisional biopsy. The pathological diagnosis of the tumor biopsy revealed a malignant neuroendocrine tumor. The patient underwent an abdominoperineal resection. The tumor proved to be mutilocular cysts with a solid component. The cysts were diagnosed as tailgut cysts that were lined by a variety of epithelial types, including inner columnar cells, outer cuboidal cells, and transitional cells. The solid component in the cysts was confirmed as a carcinoid tumor on microscopic examination. Six months after the operation, she was found to have liver and brain metastases.

Citations

Citations to this article as recorded by

Malignant transformation of tailgut cysts is significantly higher than previously reported: systematic review of cases in the literature
K. Nicoll, C. Bartrop, S. Walsh, R. Foster, G. Duncan, C. Payne, C. Carden
Colorectal Disease.2019; 21(8): 869. CrossRef
Neuroendocrine carcinoma arising in a tailgut cyst
Maher Al Khaldi, Amanda Mesbah, Pierre Dubé, Marc Isler, Andrew Mitchell, Josée Doyon, Lucas Sideris
International Journal of Surgery Case Reports.2018; 49: 91. CrossRef
A Case of Tailgut Cyst as a Subcutaneous Nodule at the Coccygeal Area
Jungyoon Ohn, Sihyeok Jang, Seong-Jin Jo, Kwang Hyun Cho
Annals of Dermatology.2016; 28(5): 641. CrossRef
Neuroendocrine tumor arising from tailgut cyst with spinal cord tethering: case report and literature review
Tetsuryu Mitsuyama, Motoo Kubota, Yoshiaki Nakamura, Masahito Yuzurihara, Kazuei Hoshi, Yoshikazu Okada
The Spine Journal.2015; 15(2): e1. CrossRef
A large presacral tailgut cyst with a carcinoid tumor in a male: report of a case
Vasileios Charalampakis, Dimitrios Stamatiou, Manousos Christodoulakis, Maria Kafousi, Evangelia Chryssou, Eelco de Bree, John Melissas
Surgery Today.2014; 44(5): 961. CrossRef
Management eines retrorektalen Tumors unter Berücksichtigung einer seltenen Differenzialdiagnose
K. Krückemeier, P. Barth, U. Peitz, M.W. Hoffmann, E.H. Allemeyer
Der Chirurg.2012; 83(7): 657. CrossRef
Primär metastasierter hochdifferenzierter neuroendokriner Tumor in einer Tailgut-Zyste
M. Wöhlke, J. Sauer, K. Dommisch, S. Görling, A. Valdix, R. Hinze
Der Pathologe.2011; 32(2): 165. CrossRef
Clinical Study and Review of Articles (Korean) about Retrorectal Developmental Cysts in Adults
Sung Wook Baek, Haeng Ji Kang, Ji Yong Yoon, Do Youn Whang, Duk Hoon Park, Seo Gue Yoon, Hyun Sik Kim, Jong Kyun Lee, Jung Dal Lee, Kwang Yun Kim
Journal of the Korean Society of Coloproctology.2011; 27(6): 303. CrossRef
Ghrelin-Producing Well-Differentiated Neuroendocrine Tumor (Carcinoid) of Tailgut Cyst. Morphological, Immunohistochemical, Ultrastructural, and RT-PCR Study of a Case and Review of the Literature
Stefano La Rosa, Luigi Boni, Giovanna Finzi, Davide Vigetti, Nikolaos Papanikolaou, Silvia Maria Tenconi, Gianlorenzo Dionigi, Moira Clerici, Silvana Garancini, Carlo Capella
Endocrine Pathology.2010; 21(3): 190. CrossRef

First
Prev
Page of 1
Next
Last

Previous issues