横结肠癌继发胃结肠瘘的长期生存情况。
Long-term survival from gastrocolic fistula secondary to adenocarcinoma of the transverse colon.
作者信息
Forshaw Matthew J, Dastur Jamasp K, Murali Kothandaraman, Parker Michael C
机构信息
Department of Surgery, Darent Valley Hospital, Dartford, Kent, DA2 8DA, UK.
出版信息
World J Surg Oncol. 2005 Feb 10;3(1):9. doi: 10.1186/1477-7819-3-9.
BACKGROUND
Gastrocolic fistula is a rare presentation of both benign and malignant diseases of the gastrointestinal tract. Malignant gastrocolic fistula is most commonly associated with adenocarcinoma of the transverse colon in the Western World. Despite radical approaches to treatment, long-term survival is rarely documented. CASE PRESENTATION: We report a case of a 24-year-old woman who presented with the classic triad of symptoms associated with gastrocolic fistula. Radical en-bloc surgery and adjuvant chemotherapy were performed. She is still alive ten years after treatment. CONCLUSIONS: Gastrocolic fistula is an uncommon presentation of adenocarcinoma of the transverse colon. Radical en-bloc surgery with adjuvant chemotherapy may occasionally produce long-term survival.
背景
胃结肠瘘是胃肠道良性和恶性疾病的一种罕见表现。在西方世界，恶性胃结肠瘘最常与横结肠癌相关。尽管采取了根治性治疗方法，但长期生存的记录很少。病例报告：我们报告一例24岁女性患者，她出现了与胃结肠瘘相关的典型三联征症状。实施了根治性整块手术和辅助化疗。治疗后十年她仍然存活。结论：胃结肠瘘是横结肠癌的一种不常见表现。根治性整块手术联合辅助化疗偶尔可能带来长期生存。
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