２度の再発巣切除で長期生存が得られた盲腸粘液癌の１例

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  • A LONG-TERM SURVIVING PATIENT WITH MUCINOUS CARCINOMA OF THE CECUM WITH RESECTION OF METASTATIC FOCI 2 TIMES

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The patient was a 61-year-old man undergoing an ileocecal resection for cecal cancer at another hospital on February 19, 1994 when the pathological findings were mucinous carcinoma, si (abdominal wall), ly2, v0, n0, and stage IIIb. He felt a right lower quadrant tumor in March 1995, and was seen at the hospital by referral. Abdominal CT scan visualized a tumor 40mm in size in the right lower abdomen, and the patient was operated on June 14. The tumor had invaded the abdominal wall and ileum, and solitary metastasis to iliac lymph node and regional peritoneum was seen. Excision of the tumor with abdominal wall and a partial ileectomy were carried out. Metastasis of cecal cancer was pathologically diagnosed. The patient had a right lower abdominal tumor again in June 2000 and was operated on July 16. The tumor had penetrated to the ileum and mesenteric lymph node metastasis was also identified. Removal of the tumor and extensive resection of the intestine were performed. Pathological findings suggested metastasis. Thereafter no signs of recurrence have been seen until his death duo to lung cancer and pneumonia on November 14, 2003.<br>In the treatment of mucinous carcinoma of the large intestine, frequent excisions of the metastatic foci might contribute to long-term survival of the patient in some cases, if the foci are localized.

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