| Item type |
デフォルトアイテムタイプ（フル）(1) |
| 公開日 |
2018-03-27 |
| タイトル |
|
|
タイトル |
集学的治療により長期生存が得られたS状結腸癌術後再発の1例 |
|
言語 |
ja |
| タイトル |
|
|
タイトル |
A case of sigmoid colon cancer peritoneal dissemination recurrence was received multimodal therapy and had a long time survival. |
|
言語 |
en |
| 作成者 |
伊禮, 靖苗
金城, 達也
金城, 章吾
佐村, 博範
西垣, 大志
西, 巻正
Irei, Yasue
Kinjo, Tatsuya
Samura, Hironori
Nishigaki, Taishi
Kinjo, Shogo
Nishimaki, Tadashi
|
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 権利情報 |
|
|
言語 |
ja |
|
権利情報 |
琉球医学会 |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
peritoneal dissemination |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
recurrence of colon cancer |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
multidisciplinary treatment |
| 内容記述 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
62-year old woman with stage Ⅱ sigmoid colon cancer underwent sigmoidectomy with D3 lymphadenectomy at another hospital in December 2004. One year later, she experienced atypical genital bleeding. She was referred to our hospital for examination and treatment. She was diagnosed with a peritoneal recurrence of sigmoid colon cancer, with disseminated nodules that had invaded the intestinal wall and uterus. High anterior resection, total abdominal hysterectomy, and bilateral salpingo-oophorectomy were performed, subsequent histopathological examination revealed a well-differentiated adenocarcinoma. Because carcinoembryonic antigen (CEA) levels were increased rapidly after adjuvant chemotherapy, she received bimonthly oxaliplatin plus infusion fluorouracil with leukovorin regimen (mFOLFOX6). Although mFOLFOX6 8 courses were administered, computed tomography (CT) showed disseminated nodules, ranging in size from 7 to 30 mm, at the pelvic floor, around the anastomosis site, in the mesentery of the small intestine and in the greater omentum. In July 2007, Hartmannʼs operation, partial resection of the small intestine, and greater omentum, left ureterovesical anastomosis, and hyperthermic intraperitoneal chemotherapy was performed. Histopathological examination revealed a well-differentiated adenocarcinoma. Bimonthly irinotecan plus infusion fluorouracil with leukovorin regimen (FOLFIRI) 20 courses and Tegafur-uracil (UFT) following FOLFIRI were administered as adjuvant chemotherapy. In February 2010, CT showed disseminated nodules at near the stump of rectum, right side of urinary bladder. Then, peritoneal metastasectomy was performed. Histopathological examination revealed a moderately differentiated adenocarcinoma. She was disease-free for 5 years after the last surgery. We reported a case of patient with peritoneal recurrence of sigmoid colon cancer that received multidisciplinary treatment and remained disease free for a long duration. And we also reviewed previous studies and case reports. |
| 内容記述 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
論文 |
| 出版者 |
|
|
出版者 |
琉球医学会 |
|
言語 |
ja |
| 出版者 |
|
|
出版者 |
Ryukyu Medical Association |
|
言語 |
en |
| 言語 |
|
|
言語 |
jpn |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
1346-888X |
| 収録物識別子 |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AN10369445 |
| 収録物名 |
|
|
収録物名 |
琉球医学会誌 = Ryukyu Medical Journal |
|
言語 |
ja |
| 書誌情報 |
巻 35,
号 1-4,
p. 57-64
|
Vol35p57.pdf
