内容紹介
Summary
A 76-year-old woman complaining of constipation was diagnosed with advanced rectosigmoid colon cancer with unresectable liver metastases. We performed a laparoscopic high-anterior resection due to the obstruction. The patient then received a capecitabine plus oxaliplatin(CapeOX)plus cetuximab(Cmab)combination chemotherapy. After 7 cycles of CapeOX with Cmab, the multiple liver metastases had reduced remarkably in size. Therefore, a liver metastases resection was performed. The patient underwent 6 cycles of postoperative CapeOX with Cmab therapy and has survived 7 years with no recurrence after the primary surgery.
要旨
症例は76歳,女性。排便障害を主訴に来院し,切除不能な肝転移を伴う直腸S状部癌と診断された。腹腔鏡補助下高位前方切除術後にcapecitabine+oxaliplatin(CapeOX)+cetuximab(Cmab)療法を7 cycles施行した。肝転移巣の著明な縮小を認めたため肝切除を施行し,病理学的に治癒切除を得た。手術後はCapeOX+Cmab療法を6 cycles追加した。外来にて経過観察中であるが,術後7年間無再発生存中である。
目次
A 76-year-old woman complaining of constipation was diagnosed with advanced rectosigmoid colon cancer with unresectable liver metastases. We performed a laparoscopic high-anterior resection due to the obstruction. The patient then received a capecitabine plus oxaliplatin(CapeOX)plus cetuximab(Cmab)combination chemotherapy. After 7 cycles of CapeOX with Cmab, the multiple liver metastases had reduced remarkably in size. Therefore, a liver metastases resection was performed. The patient underwent 6 cycles of postoperative CapeOX with Cmab therapy and has survived 7 years with no recurrence after the primary surgery.
要旨
症例は76歳,女性。排便障害を主訴に来院し,切除不能な肝転移を伴う直腸S状部癌と診断された。腹腔鏡補助下高位前方切除術後にcapecitabine+oxaliplatin(CapeOX)+cetuximab(Cmab)療法を7 cycles施行した。肝転移巣の著明な縮小を認めたため肝切除を施行し,病理学的に治癒切除を得た。手術後はCapeOX+Cmab療法を6 cycles追加した。外来にて経過観察中であるが,術後7年間無再発生存中である。