Shimizu M, Hiromoto H, Kawa Y, Itoh H, Saitoh Y
1st Dept. of Surgery, School of Med., Univ. of Kobe.
Gan No Rinsho. 1988 Apr;34(4):487-90.
A case of multiple colonic cancer appearing 15 years and 3 months after the resection of a synchronous multiple colonic cancer is reported. A 65-year-old man complained of abdominal pain, abdominal fullness, and diarrhea. A barium enema revealed a so-called "apple core lesion" and a filling defect, and he was diagnosed as having a multiple colonic cancer. A subtotal colectomy was performed and he has been free of any sign of recurrence since this operation. In this case, the interval between the first and the second cancer is longer than most reported cases. Thus, as a precaution, a longer follow-up is recommended for patients with a synchronous multiple colonic cancer.
报告了1例在同期多发结肠癌切除术后15年3个月出现多发结肠癌的病例。一名65岁男性主诉腹痛、腹胀和腹泻。钡灌肠检查发现一个所谓的“苹果核病变”和一个充盈缺损，他被诊断为多发结肠癌。行次全结肠切除术，自此次手术以来他未出现任何复发迹象。在该病例中，首次和第二次癌症之间的间隔时间比大多数报道的病例更长。因此，作为预防措施，建议对同期多发结肠癌患者进行更长时间的随访。
