盲腸癌術後すい・ひ転移の1切除例

書誌事項

タイトル別名
  • A Resected Case of Pancreatic and Splenic Metastases from Cecal Carcinoma.
公開日
2002
DOI
  • 10.3862/jcoloproctology.55.366
公開者
一般社団法人日本大腸肛門病学会

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説明

The patient was a 67-year-old man who underwent distal gastrectomy for early gastic cancer (L, IIc, tubl, sm, n0, stage IA) in March 1985. In July 1995, a right hemicolectomy was performed, with a diagnosis of cecal carcinoma (tubl, se, ly3, v1, n1 (+), stage III a). In January 1997, the level of serum CEA increased to 17.1 ng/ml, and abdominal CT revealed tumors in the pancreatic tail, spleen, and para-aortic lymph-nodes. A distal pancreatectomy, splenectomy, and resection of the remnant stomach, with lymph-node dissection, were performed in March 1997. Histological diagnosis was well-differentiated adenocarcinoma compatible with metastases of cecal carcinoma. CEA levels returned to normal 2 months after the operation. However, the level of serum CEA increased again 12 months later, and CT revealed liver metastases in March 1998. He died of peritoneal disseminations 23 months after reoperation.<BR>Resectable metastatic pancreatic and splenic cancers are very rare. Surgical treatment for pancreatic and splenic metastases from colorectal carcinoma may result in long-term survival. We therefore recommend resection in such cases.

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