Ueda Takeshi, Tanaka Tetsuya, Yokoyama Takashi, Sadamitsu Tomomi, Koyama Fumikazu, Fujii Hisao, Yoshimura Atsushi
Department of Surgery, Minami-Nara General Medical Center, Oyodo, Nara, Japan.
Department of Endoscopy, Nara Medical University Hospital, Kashihara, Nara, Japan.
ACG Case Rep J. 2020 Apr 28;7(4):e00374. doi: 10.14309/crj.0000000000000374. eCollection 2020 Apr.
Crohn's disease (CD) is associated with an increased risk of developing colorectal cancer. In particular, cases in which long-term survival is achieved by patients with local recurrence of CD-associated rectal cancer are rare. We report a case in which curative resection was achieved for a 47-year-old man with long-standing CD and locally recurrent rectal cancer. In this case, the patient obtained a long-term survival without recurrence after surgical resection with adjuvant chemotherapy and immunosuppressive therapy. In the management of inflammatory bowel disease patients with cancer, the management of both cancer and inflammatory bowel disease treatment is important for the long-term prognosis.
克罗恩病(CD)与患结直肠癌风险增加相关。特别是,克罗恩病相关直肠癌局部复发患者实现长期生存的病例罕见。我们报告一例47岁患有长期克罗恩病和局部复发性直肠癌的男性患者接受了根治性切除术。在此病例中,患者在接受手术切除并辅助化疗及免疫抑制治疗后获得了无复发的长期生存。在炎症性肠病合并癌症患者的管理中,癌症管理和炎症性肠病治疗对长期预后均很重要。