Nakamura Masahiro, Ami Katsunori, Watayo Yoshihisa, Amagasa Hidetoshi, Ganno Hideaki, Kurokawa Toshiaki, Fukuda Akira, Nagahama Takeshi, Ando Masayuki, Okada Youichi, Tei Shikofumi, Arai Kuniyoshi
Dept. of Surgery, Tokyo Metropolitan Toshima Hospital.
Gan To Kagaku Ryoho. 2011 Nov;38(12):2307-9.
A 69-year-old male was operated on sigmoidectomy for sigmoid colon cancer (SS, N2, H0, P0, M0, stage IIIb) 7 years ago. Two years later, he was diagnosed for rectal cancer and bilateral lung metastases by TBLB. We performed Mile's operation, and the rectal focus was pathologically diagnosed with a recurrence of sigmoid colon cancer. After surgery, chemotherapy with FOLFOX was started for bilateral lung metastases, resulting in CR during the 22 months. But bilateral lung metastases were exacerbated, and then we administered several other chemotherapies. Five years have passed since chemotherapy started, although the focuses tended to progress. Right now, he has been a chemotherapy outpatient for last 5 years.
一名69岁男性7年前因乙状结肠癌（SS，N2，H0，P0，M0，Ⅲb期）接受了乙状结肠切除术。两年后，他经经支气管肺活检被诊断为直肠癌并伴有双侧肺转移。我们进行了腹会阴联合切除术，直肠病灶经病理诊断为乙状结肠癌复发。术后，针对双侧肺转移开始使用FOLFOX方案化疗，在22个月内达到完全缓解。但双侧肺转移病情加重，随后我们又给予了其他几种化疗。自开始化疗至今已过去5年，尽管病灶有进展趋势。目前，他已作为化疗门诊患者随访了5年。
