结肠癌根治性切除术后孤立性纵隔淋巴结复发。
Solitary mediastinal lymph node recurrence after curative resection of colon cancer.
机构信息
Yasuhiro Matsuda, Masahiko Yano, Norikatsu Miyoshi, Shingo Noura, Masayuki Ohue, Keijiro Sugimura, Masaaki Motoori, Kentaro Kishi, Yoshiyuki Fujiwara, Kunihito Gotoh, Shigeru Marubashi, Hirofumi Akita, Hidenori Takahashi, Masato Sakon, Department of Surgery, Osaka Medical Center for Cancer and Cardiovascular Disease, Osaka 537-8511, Japan.
出版信息
World J Gastrointest Surg. 2014 Aug 27;6(8):164-8. doi: 10.4240/wjgs.v6.i8.164.
We report two cases of solitary mediastinal lymph node recurrence after colon cancer resection. Both cases had para-aortic lymph node metastasis at the time of initial surgery and received adjuvant chemotherapy for 4 years in case 1 and 18 mo in case 2. The time to recurrence was more than 8 years in both cases. After resection of the recurrent tumor, the patient is doing well with no recurrence for 6 years in case 1 and 4 mo in case 2. Patients should be followed up after colon cancer surgery considering the possibility of solitary mediastinal lymph node recurrence if they had para-aortic node metastasis at the time of initial surgery.
我们报告了两例结肠癌切除术后孤立性纵隔淋巴结复发的病例。两例患者在初始手术时均有主动脉旁淋巴结转移，其中 1 例接受了 4 年的辅助化疗，另 1 例接受了 18 个月的辅助化疗。两例患者的复发时间均超过 8 年。在切除复发性肿瘤后，患者在 1 例中恢复良好，无复发，6 年，在 2 例中恢复良好，4 个月。如果患者在初始手术时存在主动脉旁淋巴结转移，则应考虑在结肠癌手术后进行随访，以发现孤立性纵隔淋巴结复发的可能性。
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