Nakamoto Takayuki, Koyama Fumikazu, Nakagawa Tadashi, Nakamura Shinji, Ueda Takeshi, Nishigori Naoto, Inoue Takashi, Kawasaki Keijirou, Obara Shinsaku, Fujii Hisao, Nakajima Yoshiyuki
Dept. of Surgery, Nara Medical University.
Gan To Kagaku Ryoho. 2014 Nov;41(12):1829-31.
The authors present a case of rectal carcinoid tumor with lateral lymph node metastases and liver metastases that was successfully treated by 4 resections. A 70-year-old man was diagnosed with a rectal carcinoid tumor (20 mm in diameter) with submucosal (SM) invasion. Radical resection was performed at 25 months, 38 months, and 57 months, when abdominal computed tomography (CT) revealed metachronous liver metastases of the rectal carcinoid tumor. At 50 months, metachronous lateral lymph node metastases were also revealed. Three hepatectomies and a laparoscopic lateral lymph node dissection were performed. The patient is currently free of disease at 25 months after the last intervention.
作者报告了一例直肠类癌伴侧方淋巴结转移和肝转移，经4次手术成功治疗的病例。一名70岁男性被诊断为直肠类癌（直径20mm）伴黏膜下层（SM）浸润。在25个月、38个月和57个月时进行了根治性切除，当时腹部计算机断层扫描（CT）显示直肠类癌出现异时性肝转移。在50个月时，还发现了异时性侧方淋巴结转移。进行了3次肝切除术和1次腹腔镜侧方淋巴结清扫术。在最后一次干预后25个月，患者目前无疾病复发。
