Sato Taku, Kuwabara Hiroshi, Ito Yoshifumi, Ishii Takeshi, Iwasaki Tomomi, Sanada Takahiro, Nakamura Noriaki, Yoshida Tatsuya, Goseki Narihide, Koike Morio
Dept. of Surgery, Shuuwa General Hospital.
Gan To Kagaku Ryoho. 2018 Dec;45(13):1934-1936.
We report a case of colon cancer with simultaneous liver metastases successfully treated with multidisciplinary therapy including two-stage hepatectomy. This is a case of a 72-year-old woman diagnosed with type 1 cecal cancer with 2 simulta- neous liver metastases(S4/8: 98mm, S3: 63mm). At first, laparoscopic resection of the primary site was performed to prevent colon ileus. Liver metastases rapidly grew and became unresectable; fortunately, 11 courses of mFOLFOX6 and bevacizu- mab were effective and liver metastases shrunk(S4/8: 85mm, S3: 67mm). At last, two-stage hepatectomy was performed as conversion surgery, and the patient survived without recurrence for more than 2 years.
我们报告一例同时发生肝转移的结肠癌患者，通过包括两阶段肝切除术在内的多学科治疗成功治愈。这是一名72岁女性，被诊断为1型盲肠癌并同时有两处肝转移（S4/8：98mm，S3：63mm）。起初，为预防结肠肠梗阻，对原发部位进行了腹腔镜切除术。肝转移灶迅速生长，变得无法切除；幸运的是，11个疗程的mFOLFOX6和贝伐单抗治疗有效，肝转移灶缩小（S4/8：85mm，S3：67mm）。最后，作为转化手术进行了两阶段肝切除术，患者存活且无复发超过2年。
