A Case of a Clinical Strategy Being Effective for Duplication Cancers, Prostate Cancer Infiltrating into the Rectum and Multiple Rectum Cancers

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  • Oshiro Takafumi
    Department of Surgery, Hiroshima General Hospital of the West Japan Railway Company
  • Hirata Yuzo
    Department of Surgery, Hiroshima General Hospital of the West Japan Railway Company
  • Okamoto Yuzo
    Department of Surgery, Hiroshima General Hospital of the West Japan Railway Company
  • Yoshioka Shinkichiro
    Department of Surgery, Hiroshima General Hospital of the West Japan Railway Company

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  • 直腸に浸潤した前立腺癌と下部直腸多発癌の重複に対して治療的戦略が有効であった1例

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Abstract

A 78-year-old man with dysuria after treatment for acute obstructive suppurative cholangitis had a high level of PSA and was diagnosed with prostate cancer after biopsy of the prostate. The cancer had infiltrated into the submucosa of the rectum and metastasized to many bones. Further examination revealed that there were two cancers at the lower rectum. T factor of the oral side was cMP and that of the anal side was cM. We first performed hormonal therapy for the prostate cancer. The hormonal therapy was successful, and EMR was then performed for the anal side of the rectal cancer. We could then safely perform laparoscopic cholecystectomy for the cholecystolithiasis and laparoscopic assisted low anterior resection for the oral side of the rectal cancer. We consider that it is important to first perform hormonal therapy for advanced prostate cancer and to devise the follow-up strategy in the case of duplication of prostate cancer and other organ cancer, the latter of which can await treatment.

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