Yagi Yutaka, Kobayashi Takashi, Watanabe Takaoki, Tanaka Kana, Hashidate Hideki
Dept. of Surgery, Niigata Rinko Hospital.
Gan To Kagaku Ryoho. 2020 May;47(5):847-850.
A 44-year-old woman underwent a sigmoidectomy for sigmoid colon cancer in March 2002. At 5 years after the primary surgery, she underwent 2 hepatectomies, 2 anastomotic resections, 1 lung resection, and 1 radiofrequency ablation. Computed tomography revealed a mass in the pancreatic tail in January 2008. We performed distal pancreatectomy. The specimen showed metastases ofthe sigmoid colon cancer. Computed tomography revealed metastases to the left iliac lymph node in September 2010. She underwent chemotherapy with IRIS for the lymph node metastases. After 16 chemotherapy sessions, the lymph node metastases disappeared. The patient is alive 11 years after the pancreatectomy. Resectable pancreatic metastasis from colorectal cancer is rare. Multimodal treatment that includes radical surgery may achieve long-term survival in some cases.
一名44岁女性于2002年3月因乙状结肠癌接受了乙状结肠切除术。在初次手术后5年,她接受了2次肝切除术、2次吻合口切除术、1次肺切除术和1次射频消融术。2008年1月计算机断层扫描显示胰尾有一个肿块。我们进行了胰体尾切除术。标本显示为乙状结肠癌转移。2010年9月计算机断层扫描显示左髂淋巴结转移。她因淋巴结转移接受了IRIS化疗。经过16个疗程的化疗,淋巴结转移消失。该患者在胰体尾切除术后存活了11年。结直肠癌可切除的胰腺转移很少见。包括根治性手术在内的多模式治疗在某些情况下可能实现长期生存。