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[1例直肠癌FOLFOX4治疗后同步多发肝转移灶切除病例]

[A case or resection of synchronous multiple liver metastases from rectal cancer after FOLFOX4 therapy].

作者信息

Deguchi Yoshio, Endo Shungo, Tanaka Jun-Ichi, Kasugai Hisashi, Ikehara Kishiko, Hidaka Eiji, Hashimoto Masahiko, Ishida Fumio, Kudo Shin-Ei

机构信息

Digestive Disease Center, Showa University Northern Yokohama Hospital.

出版信息

Gan To Kagaku Ryoho. 2010 Jun;37(6):1159-62.

Abstract

A 7 0-year-old man with multiple liver metastases from rectal cancer was admitted to our hospital. From imaging inspection, a resection was determined to be difficult, so he was treated with FOLFOX4 therapy. After ten courses of FOLFOX4, the liver metastases showed 52% reduction in size and were judged to be PR. Therefore low anterior resection of the rectum, left lobectomy of the liver and partial resection of the liver(S7, S8)were performed. He was able to undergo curative surgery after FOLFOX4 therapy.

摘要

一名患有直肠癌多发肝转移的70岁男性入住我院。经影像学检查,确定难以进行切除手术,因此对他采用FOLFOX4疗法进行治疗。经过10个疗程的FOLFOX4治疗后,肝转移灶大小缩小了52%,判定为部分缓解(PR)。于是,对该患者实施了直肠低位前切除术、肝左叶切除术及肝(S7、S8)部分切除术。经过FOLFOX4治疗后,他得以接受根治性手术。

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