Suzaki M, Kitagawa M, Sakai H, Ikeda G, Machishi H, Umeda K
Department of Surgery, Kinan Hospital, Mie, Japan.
Surg Today. 1996;26(1):42-5. doi: 10.1007/BF00311990.
A 68-year-old woman presented with transverse colon cancer invading the liver, duodenum, and pancreas. The patient underwent a curative resection including a right hemicolectomy, partial hepatectomy, and pancreaticoduodenectomy (PD). The pathological examination showed adenocarcinoma of the colon with a direct extension into the duodenum, liver, and pancreas. Several lymph nodes were also involved. The patient is still alive and disease-free 2 years and 6 months after the operation. This case illustrates that even in patients with locally advanced colon cancer, a favorable prognosis can be obtained by aggressive surgery incorporating the resection of the adjacent involved organs.
一名68岁女性因横结肠癌侵犯肝脏、十二指肠和胰腺而就诊。患者接受了包括右半结肠切除术、部分肝切除术和胰十二指肠切除术（PD）在内的根治性切除。病理检查显示为结肠腺癌，直接蔓延至十二指肠、肝脏和胰腺。多个淋巴结也受累。患者术后2年6个月仍存活且无疾病。该病例表明，即使是局部晚期结肠癌患者，通过积极手术切除相邻受累器官也可获得良好预后。
