2024-03-29T15:02:47Z
https://u-ryukyu.repo.nii.ac.jp/oai
oai:u-ryukyu.repo.nii.ac.jp:02015994
2022-10-31T07:48:19Z
1642838163960:1642838198944:1642838199408:1642838207689
1642838403551:1642838412624
[症例報告]長期間生存中のstage III胆管細胞癌の1治験例
A case of cholangiocarcinoma surviving for 7 years after multidisciphnary treatment
平良, 薫
山田, 護
比嘉, 宇郎
白石, 祐之
松本, 光之
草野, 敏臣
武藤, 良弘
Taira, Kaoru
Yamada, Mamoru
Higa, Takao
Shiraishi, Masayuki
Matsumoto, Mitsuyuki
Kusano, Toshiomi
Muto, Yoshihiro
cholangiocarcinoma
hepatectomy
enucleation
adjuvant chemotherapy
long-term susrvival
A case of advanced cholangiocarcinoma of a 63-year-old female surviving by multidisciplinary treatment is reported. The patient developed mild jaundice in 1988. She was reffered to the University Hospital for treatment. Diagnosis was an advanced cholangiocarcinoma involving segment 5 of the anterior segment of the liver with total bilirubin, carbohydrate antigen (CA) 19-9 levels of 6.0 mg/ml and 54.8 IU/L, respectively. The patient underwent right trisegmentectomy and was initially treated with adjuvant chemotherapy. Histologically, the tumor was moderately to poorly differentiated adenocarcinoma with vascular invasion of the liver. Four years and five months later, CT scan of the abdomen revealed a recu汀ence of the tumor in the remnant liver and the left lung. We performed surgery again followed by treatment with adjuvant chemotherapy. She achieved partial response to the treatment. Eighteen months after the second surgical operation, chest X-ray and CT scan revealed multiple metastatic tumors in the left chest. The patient is alive with recurrent disease and currently being treated with regular chemotherapy.
論文
http://purl.org/coar/resource_type/c_6501
琉球医学会
Ryukyu Medical Association
1996
VoR
1346888X
0289-1530
AN10369445
琉球医学会誌 = Ryukyu Medical Journal
1
16
53
49
jpn
open access
琉球医学会