Iida A, Komatsu T, Ookubo K, Ikeda N
Dept. of Surgery, National Hospital of Ito Spa.
Gan To Kagaku Ryoho. 1993 Apr;20(5):661-3.
A 60-year-old female was diagnosed by X-ray examination and endoscopy as ascending colon cancer. Ultrasonography and computed tomography revealed two metastatic tumors in the liver. Abdominal surgery revealed peritoneal disseminations, massive lymph node metastasis and direct invasion of the transverse colon and ileum. From pathological examination the diagnosis was moderately differentiated adenocarcinoma. After right hemi-colectomy, sequential methotrexate and 5-fluorouracil therapy as well as oral administration of UFT, liver metastasis disappeared and no sign of ascites was found in this case. Complete response time was over 8 months. There have been no severe complications.
一名60岁女性经X线检查和内镜检查诊断为升结肠癌。超声检查和计算机断层扫描显示肝脏有两个转移瘤。腹部手术发现腹膜播散、大量淋巴结转移以及横结肠和回肠的直接侵犯。病理检查诊断为中度分化腺癌。右半结肠切除术后,序贯使用甲氨蝶呤和5-氟尿嘧啶治疗以及口服优福定,该病例肝脏转移消失且未发现腹水迹象。完全缓解时间超过8个月。未出现严重并发症。