Dan Nobuhiro, Miura Kotaro, Tendo Masanari, Hori Takeshi, Nishino Hiroji
Dept. of Surgery, Kashiwara Municipal Hospital.
Gan To Kagaku Ryoho. 2013 Aug;40(8):1111-4.
The patient was a 66-year-old male. He underwent sigmoidectomy with D1 for an advanced sigmoid colon cancer with massive metastasis to the para-aortic lymph nodes. After the resection he underwent chemotherapy, and CT showed that the para-aortic lymph node metastasis had disappeared. However, CT showed other lymph node(No. 252, No. 273 lt)swelling. We therefore resected No. 252 and No. 273 lt lymph nodes. Two years after the resection the patient is alive and shows no sign of recurrence while being without chemotherapy.
该患者为66岁男性。他因降结肠癌伴主动脉旁淋巴结大量转移接受了D1根治性乙状结肠切除术。切除术后他接受了化疗,CT显示主动脉旁淋巴结转移已消失。然而,CT显示其他淋巴结(252号、左273号)肿大。因此,我们切除了252号和左273号淋巴结。切除术后两年,患者健在,未接受化疗且无复发迹象。