Nakagawa S, Tada T, Furukawa H, Abe M, Hatakeyama K
Department of Surgery, Tachikawa General Hospital, Nagaoka, Japan.
Surg Today. 2000;30(9):853-5. doi: 10.1007/s005950070073.
A 73-year-old woman had a laparoscopic cholecystectomy for unexpected gallbladder cancer and 9 days later underwent both a liver bed resection and lymph node dissection. Four years later, she underwent a further resection of a port site recurrence of gallbladder cancer and no other site of recurrence was observed. The seeding of cancer cells during the removal of the resected gallbladder might have caused this tumor. This case may show that the port site recurrence did not necessarily indicate an incurable stage of the disease. In addition, an excision of the recurrent tumor also appeared to eliminate the disease in the patient.
一名73岁女性因意外发现的胆囊癌接受了腹腔镜胆囊切除术,9天后又进行了肝床切除和淋巴结清扫。四年后,她再次接受了胆囊癌切口部位复发灶的切除,未发现其他复发部位。切除胆囊过程中癌细胞的播散可能导致了这一肿瘤。该病例可能表明,切口部位复发不一定意味着疾病处于不可治愈阶段。此外,切除复发肿瘤似乎也消除了患者体内的疾病。