Shibahara Kotaro, Hirazuka Takahiro, Yamamoto Manabu, Ninomiya Mizuki, Mashino Kojiro, Fuji Kyuzo, Ikeda Tetsuo, Kahno Tadashi
Dept. of Surgery, Oita Prefectural Hospital.
Gan To Kagaku Ryoho. 2006 Oct;33(10):1481-3.
We report a case of a 44-year-old male with advanced lower rectal cancer that showed a significant effect after preoperative chemoradiation therapy. Preoperative radiation and chemotherapy included whole pelvis irradiation (30 Gy in total), oral UFT (500 mg/day), and Leucovorin (75 mg/day) was administered daily for 4 weeks. Consequently, the patient underwent a total pelvic exenteration with lymph node dissection (D 3). Histopathological findings showed: invasion to peritoneum(Ai); stage IIIa with n(-); and histological grading, Grade 2. Preoperative chemoradiation therapy appears to be effective for locally advanced lower rectal cancer.
我们报告一例44岁男性晚期低位直肠癌患者,其在术前放化疗后显示出显著疗效。术前放疗和化疗包括全盆腔照射(总量30 Gy),口服优福定(500 mg/天),并每天给予亚叶酸钙(75 mg/天),持续4周。因此,该患者接受了全盆腔脏器切除术及淋巴结清扫术(D3)。组织病理学检查结果显示:侵犯至腹膜(Ai);Ⅲa期,n(-);组织学分级为2级。术前放化疗似乎对局部晚期低位直肠癌有效。