内容紹介
Summary
An 83-year-old woman received 8 courses of chemotherapy(mogamulizumab)for adult T cell leukemia in the hematology department of our hospital, after which she achieved complete remission and was followed up with chemotherapy(VP/MST: sobuzoxane/etoposide)as an outpatient. Later, diarrheal symptoms appeared, and detailed examinations led to a diagnosis of cancer of the ascending colon. Although no distal metastasis was found, breast cancer was also revealed in the C area of the right breast. The general status of the patient was favorable; thus, right pectoral muscle-conserving mastectomy and concomitant sentinel lymph node biopsy were performed through laparoscope-assisted extended right hemicolectomy. The postoperative course was favorable, and she was discharged on hospital day 7. The excised tumors were pathologically diagnosed as stageⅠ breast cancer and stage Ⅲa colorectal cancer. Chemotherapy(VP/MST)was administered without adjuvant chemotherapy. Presently, 18 months after surgery, complete remission of adult T cell leukemia has been maintained, without metastasis and recurrence of cancer of the ascending colon and breast cancer.
要旨
症例は83歳,女性。当院血液内科にて成人T細胞白血病に対し化学療法を施行後(mogamulizumab 8コース),完全寛解となり,sobuzoxane/etoposide(VP/MST)療法にて外来加療中であった。下痢症状にて精査したところ,上行結腸癌の診断となった。遠隔転移は認めなかったが,右乳房C領域に乳癌が確認された。全身状態良好であったため,胸筋温存右乳房切除術+センチネルリンパ節生検と腹腔鏡補助下拡大右半結腸切除術を同時に施行した。術後経過良好にて第7病日に退院となった。病理診断は乳癌stageⅠ,大腸癌stage Ⅲaであったが補助化学療法は施行せず,血液内科にて化学療法(VP/MST)を再開した。現在術後18か月経過したが成人T細胞白血病は完全寛解を継続し,上行結腸癌,乳癌の転移・再発も認めていない。
目次
An 83-year-old woman received 8 courses of chemotherapy(mogamulizumab)for adult T cell leukemia in the hematology department of our hospital, after which she achieved complete remission and was followed up with chemotherapy(VP/MST: sobuzoxane/etoposide)as an outpatient. Later, diarrheal symptoms appeared, and detailed examinations led to a diagnosis of cancer of the ascending colon. Although no distal metastasis was found, breast cancer was also revealed in the C area of the right breast. The general status of the patient was favorable; thus, right pectoral muscle-conserving mastectomy and concomitant sentinel lymph node biopsy were performed through laparoscope-assisted extended right hemicolectomy. The postoperative course was favorable, and she was discharged on hospital day 7. The excised tumors were pathologically diagnosed as stageⅠ breast cancer and stage Ⅲa colorectal cancer. Chemotherapy(VP/MST)was administered without adjuvant chemotherapy. Presently, 18 months after surgery, complete remission of adult T cell leukemia has been maintained, without metastasis and recurrence of cancer of the ascending colon and breast cancer.
要旨
症例は83歳,女性。当院血液内科にて成人T細胞白血病に対し化学療法を施行後(mogamulizumab 8コース),完全寛解となり,sobuzoxane/etoposide(VP/MST)療法にて外来加療中であった。下痢症状にて精査したところ,上行結腸癌の診断となった。遠隔転移は認めなかったが,右乳房C領域に乳癌が確認された。全身状態良好であったため,胸筋温存右乳房切除術+センチネルリンパ節生検と腹腔鏡補助下拡大右半結腸切除術を同時に施行した。術後経過良好にて第7病日に退院となった。病理診断は乳癌stageⅠ,大腸癌stage Ⅲaであったが補助化学療法は施行せず,血液内科にて化学療法(VP/MST)を再開した。現在術後18か月経過したが成人T細胞白血病は完全寛解を継続し,上行結腸癌,乳癌の転移・再発も認めていない。