Idani H, Narusue M, Kin H, Uda K, Muro M, Kaneko A, Sasaki H, Watanabe K, Takahashi K
Department of Surgery, Fukuyama Municipal Hospital, Hiroshima, Japan.
Hepatogastroenterology. 2001 Jan-Feb;48(37):244-6.
We report a case of colon cancer with liver metastasis that had been treated previously by sigmoidectomy and partial hepatic segmentectomy. A 55-year-old woman presented with two asynchronous liver metastases, which were treated with percutaneous microwave coagulation therapy. However, evaluation by dynamic computed tomography one week later showed incomplete necrosis in at least one tumor. Surgical resection was subsequently performed and histopathological examination showed the presence of viable cancer cells in both tumors. We conclude that surgical resection is perhaps the best curative method of treatment of metastatic liver tumors of colorectal carcinomas and that dynamic computed tomography is not always accurate for evaluating the effect of microwave coagulation therapy.
我们报告一例结肠癌肝转移患者，该患者先前接受过乙状结肠切除术和部分肝段切除术。一名55岁女性出现两处异时性肝转移，接受了经皮微波凝固治疗。然而，一周后动态计算机断层扫描评估显示至少有一个肿瘤坏死不完全。随后进行了手术切除，组织病理学检查显示两个肿瘤中均存在存活的癌细胞。我们得出结论，手术切除可能是治疗结直肠癌肝转移瘤的最佳治愈方法，且动态计算机断层扫描并不总是能准确评估微波凝固治疗的效果。
