Nakazawa Shigeaki, Okumi Masayoshi, Yoneda Suguru, Takezawa Kentaro, Tanigawa Go, Fujita Kazutoshi, Hosomi Masahiro, Fushimi Hiroaki, Yamaguchi Seiji
The Department of Urology, Osaka Prefectural Medical Center, Osaka, Japan.
Hinyokika Kiyo. 2012 Dec;58(12):683-6.
A 55-year-old woman who presented with a retroperitoneal tumor was referred to our department. At the age of 51, she underwent a total gastrectomy for gastric cancer. Postoperatively, TS-1 administration was given for Virchow lymph node metastasis, which disappeared within 2 years and TS-1 was stopped. However, computed tomography revealed a retroperitoneal tumor adjacent to the inferior vena cava, which gradually increased and began to compress the inferior vena cava. Under a diagnosis of retroperitoneal tumor, laparoscopic resection was performed. Pathological findings led to a diagnosis of lymph node metastasis from an adenocarcinoma of the stomach.
一名55岁患有腹膜后肿瘤的女性被转诊至我科。51岁时，她因胃癌接受了全胃切除术。术后，因Virchow淋巴结转移接受替吉奥治疗，2年内转移灶消失，替吉奥停药。然而，计算机断层扫描显示下腔静脉旁有一个腹膜后肿瘤，该肿瘤逐渐增大并开始压迫下腔静脉。在诊断为腹膜后肿瘤后，进行了腹腔镜切除术。病理结果诊断为胃腺癌淋巴结转移。
