内容紹介
A Case of Long-Term Survival after Resection of Metachronous Metastases to the Liver and Lungs from Primary Rectal Cancer
Summary
A 81-year-old man had undergone high anterior resection for rectal cancer in 20XX. Abdominal computed tomography(CT)showed an isolated shadow of 2 cm in size in the liver, 9 years after surgery for colorectal cancer. We performed liver S4 segmental resection and cholecystectomy. Histopathological examination confirmed liver metastases of rectal cancer. On examination of the liver metastasis 5 years after surgery, chest CT showed a shadow of 10 mm in size in S6 of the left lung. We performed partial resection via video-assisted thoracic surgery(VATS)in 20XX+14. Histopathological examination revealed lung metastases of rectal cancer. We believe that metachronous metastases from rectal cancer should be removed surgically if radical cure is possible.
要旨
症例は81歳,男性。20XX年,直腸癌(Rs)に対し根治術(前方切除,adenocarcinoma,sm,n1,stageⅢA,Cur A)が行われた。大腸癌術後9年,腹部CT検査で肝臓に2 cm大の孤立性陰影を認めた。肝S4部分切除+胆囊摘出術を施行した。病理組織検査は直腸癌の肝転移であった。さらに肝転移術後5年,胸部CT検査で左肺S6に10 mm大の陰影を認めた。20XX+14年,左胸腔鏡下肺部分切除を施行した。病理組織検査は直腸癌の肺転移であった。われわれは,根治が期待できるなら直腸癌の異時性転移は積極的に外科的切除をすべきであると考える。
目次
Summary
A 81-year-old man had undergone high anterior resection for rectal cancer in 20XX. Abdominal computed tomography(CT)showed an isolated shadow of 2 cm in size in the liver, 9 years after surgery for colorectal cancer. We performed liver S4 segmental resection and cholecystectomy. Histopathological examination confirmed liver metastases of rectal cancer. On examination of the liver metastasis 5 years after surgery, chest CT showed a shadow of 10 mm in size in S6 of the left lung. We performed partial resection via video-assisted thoracic surgery(VATS)in 20XX+14. Histopathological examination revealed lung metastases of rectal cancer. We believe that metachronous metastases from rectal cancer should be removed surgically if radical cure is possible.
要旨
症例は81歳,男性。20XX年,直腸癌(Rs)に対し根治術(前方切除,adenocarcinoma,sm,n1,stageⅢA,Cur A)が行われた。大腸癌術後9年,腹部CT検査で肝臓に2 cm大の孤立性陰影を認めた。肝S4部分切除+胆囊摘出術を施行した。病理組織検査は直腸癌の肝転移であった。さらに肝転移術後5年,胸部CT検査で左肺S6に10 mm大の陰影を認めた。20XX+14年,左胸腔鏡下肺部分切除を施行した。病理組織検査は直腸癌の肺転移であった。われわれは,根治が期待できるなら直腸癌の異時性転移は積極的に外科的切除をすべきであると考える。