2024-03-28T10:34:04Z
https://u-ryukyu.repo.nii.ac.jp/oai
oai:u-ryukyu.repo.nii.ac.jp:02016138
2022-10-31T07:51:09Z
1642838163960:1642838198944:1642838199408:1642838219259
1642838403551:1642838412624
[症例報告]右肺全摘と胃全揃を施行した同時性肺, 胃重複癌の1例
A case of synchronous double cancer of the lung and stomach undergoing right pneumonectomy and total gastrectomy
知念, 徹治
川畑, 勉
佐久本, 昇
竹島, 義隆
野村, 謙
平安, 恒男
大田, 守雄
国吉, 真行
石川, 清司
源河, 圭一郎
Chinen, Tetsuji
Kawabata, Tsutomu
Sakumoto, Noboru
Takeshima, Yoshitaka
Nomura, Ken
Hirayasu, Tsuneo
Ohta, Mono
Kuniyoshi, Masayuki
Ishikawa, Kiyoshi
Genka, Keiichiro
pneumonectomy
total gastrectomy
synchronous double cancer
lung cancer
gastric cancer
A 60-year-old man complaining of weight loss and general fatigue was referred to our hospital because of an abnormal chest radiograph. CT scan and transbronchoscopic lung biopsy revealed lung cancer (squamous cell carcinoma,c-T3N2M0, StageIIIA). At the same time, upper gastrointestinal X-ray examination and fiber gastroscopy showed an irregularity of the mucosa near the cardia and two polyps at the pylorus. A histological diagnosis of adenocarcmoma was made from transgastroscopic biopsy. At first, a right pneumonectomy was performed because of the lung cancer. Two months later, total gastrectomy was done because of the gastric cancer. The postoperative course of both operations was uneventful. Although the patient died 18 months after his second operation due to cerebral infarction, there had been no sign of recurrence, after all, he had maintained a good quality of life more than 13 months. We conclude that such extensive procedures as combined pneumonectomy and total gastrectomy should be considered as the treatment of choice, if complete resection could be performed safely.
論文
http://purl.org/coar/resource_type/c_6501
琉球医学会
Ryukyu Medical Association
2003
VoR
1346888X
0289-1530
AN10369445
琉球医学会誌 = Ryukyu Medical Journal
3-4
22
131
127
jpn
open access
琉球医学会