複数回の転移巣切除術後に残存肺全摘術を行った直腸癌肺転移

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  • Completion pneumonectomy after 4 times of resections for metastatic lung tumors from rectal carcinoma
  • 今月の話題 複数回の転移巣切除術後に残存肺全摘術を行った直腸癌肺転移
  • コンゲツ ノ ワダイ フクスウカイ ノ テンイ ソウ セツジョ ジュツゴ ニ ザンソン ハイ ゼンテキジュツ オ オコナッタ チョクチョウガン ハイ テンイ

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金沢大学医薬保健研究域医学系

We report a case of completion pneumonectomy after 4 times of metastasectomy for metastatic lung tumors from rectal carcinoma. A 63-year-old man underwent Miles' operation for advanced rectal carcinoma. Forty-seven months after the operation, bilateral metastasis was appeared, and bilateral metastasectomy was performed. After the resection, 3 times of metastasectomy were performed during 40 months. Follow-up X-ray and computed tomography (CT) showed abnormal shadow in his left hilum of lung. Completion pneumonectomy with mediastinal lymph node sampling was performed. He is still alive without recurrence 4 years after first thoracotomy. Repeated pulmonary resection can lead to good outcome for selective patients with metastatic colorectal carcinoma, and repeated surgery can be useful for pulmonary recurrences after thoracotomy.

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