[一例伴有主动脉旁淋巴结大量转移的晚期乙状结肠癌长期生存病例]
[A long-term survival case of advanced sigmoid colon cancer with massive metastases to the para-aortic lymph nodes].
作者信息
Ogino Takayuki, Ohue Masayuki, Noura Shingo, Seki Yosuke, Goto Kunihito, Motoori Masaaki, Kishi Kentaro, Eguchi Hidetoshi, Yamada Terumasa, Miyashiro Isao, Tomita Hirohiko, Ohigashi Hiroaki, Yano Masahiko, Ishikawa Osamu, Imaoka Shingi
机构信息
Dept. of Gastrointestinal Surgery, Medical Center for Cancer and Cardiovascular Diseases.
出版信息
Gan To Kagaku Ryoho. 2007 Nov;34(12):2056-8.
We report a long-term survival case of advanced sigmoid colon cancer with massive metastases to the para-aortic lymph nodes. The patient was a 63-year-old male. He underwent sigmoidectomy with D3 + para-aortic lymphadenectomy for advanced sigmoid colon cancer. Histological examination showed a moderately differentiated adenocarcinoma, ss, ly2, v2, n4 (total 30/64, para-aortic lymph nodes 18/39). From 6 months to 4 years after the operation, tegafur/uracil (UFT) was performed as chemotherapy. After 8-year disease-free interval, CT showed solitary mediastinal lymph node metastases. He underwent thoracoscopic mediastinal lymphadenectomy. Histological examination revealed metastases from colon cancer.
我们报告了一例晚期乙状结肠癌伴主动脉旁淋巴结大量转移的长期生存病例。患者为63岁男性。他因晚期乙状结肠癌接受了D3根治性乙状结肠切除术及主动脉旁淋巴结清扫术。组织学检查显示为中分化腺癌，ss，ly2，v2，n4（共30/64，主动脉旁淋巴结18/39）。术后6个月至4年，采用替加氟/尿嘧啶（UFT）进行化疗。在8年无病间隔期后，CT显示孤立性纵隔淋巴结转移。他接受了胸腔镜纵隔淋巴结清扫术。组织学检查发现为结肠癌转移。
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