Haraguchi Yusei, Ueno Shinichi, Sakamoto Fuminori, Toyoyama Hironobu, Ikeda Naonori, Kamikado Chiaki, Aikou Takashi
Dept. of Surgery, Kanoya Medical Center, Citizens' Health Plaza.
Gan To Kagaku Ryoho. 2006 Oct;33(10):1473-5.
A 56-year-old-man complained of abdominal pain, and was diagnosed as having advanced rectal cancer with synchronous multiple metastatic liver cancer (H 3) in July 1999. He underwent low anterior resection and hepatic partial resection (S 1, S 2+S 3, S 5, S 6, S 8) in August 1999. In addition, he underwent hepatic arterial infusion chemotherapy (HAI) 6 times at ADM 30 mg+5-FU 1,000 mg+MMC 16 mg between October 1999 and July 2000 for recurrent metastatic liver cancer. He has survived more than 6 years after the initial surgery. Multidisciplinary treatment with hepatic resection may well be a strategy for patients with multiple colorectal liver cancer, even though H 3 type of metastasis.
一名56岁男性主诉腹痛，于1999年7月被诊断为晚期直肠癌并伴有同步多发转移性肝癌（H 3）。1999年8月，他接受了低位前切除术和肝部分切除术（S 1、S 2+S 3、S 5、S 6、S 8）。此外，1999年10月至2000年7月期间，他因复发性转移性肝癌接受了6次肝动脉灌注化疗（HAI），化疗方案为阿霉素30毫克+氟尿嘧啶1000毫克+丝裂霉素16毫克。初次手术后他已存活超过6年。即使是H 3型转移，对多发结直肠癌肝转移患者采用多学科肝切除术治疗也很可能是一种策略。
