医学
腹会阴切除术
解剖(医学)
直肠
马莲娜
外科
转移
放化疗
放射科
肺栓塞
结直肠癌
静脉
癌症
放射治疗
内科学
作者
Atomu Suzuki,Yoshinari Maeda,Kei Furuya,Masahiro Kitahara,Junya Kondo,Hideaki Somura,Yukiko Nagashima,Noboru Yahara,Toshihiro Abe,Tomoyuki Murakami,Hiroto Hayashi
出处
期刊:Gan to kagaku ryoho. Cancer & chemotherapy
日期:2021-09-01
卷期号:48 (9): 1177-1180
摘要
60-year-old man was admitted to our hospital with a chief complaint of melena. Lower gastrointestinal endoscopy revealed a type 2 tumor on the anterior wall of the rectum(Rb). He was referred to our department, and he underwent abdominoperineal rectal resection with D3 dissection and right lateral node dissection for Rb, cT2, N0, M0 intestinal cancer. Pathological diagnosis was a tub2, pT2, N0, Ly0, V0, pDM0(30 mm), pPM0(160 mm), pR0, pStage Ⅰ cancer. Therefore, postoperative adjuvant chemotherapy was not performed. Subsequent follow-up examinations were conducted on a regular basis to confirm no recurrence. However, 4 years after the surgery, high levels of tumor markers, such as CEA(59.2 ng/mL) and CA19-9(75.5 U/mL), were detected. CT showed tumor embolism to the internal iliac vein and multiple lung metastases. After IVC filter placement, chemoradiotherapy was performed. Although the tumor embolism disappeared, multiple lung metastases increased. Additionally, brain metastasis appeared 6 years after the operation. After that, according to the policy of BSC, he died 7 years after the surgery.
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