A CASE OF RECTAL CANCER WITH LIVER METASTASES DIRECTLY INVADING THE STOMACH

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  • 胃壁浸潤をきたした直腸癌肝転移巣を切除し得た1例

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Abstract

A 60-year-old man was admitted to the hospital because of constipation in July, 1993. With a diagnosis of rectal cancer (Rs) with synchronous multiple liver metastases (H3), an abdominal resection of the rectum, a right hepatic lobectomy and partial liver resections of the segment 3 and 4 were performed. After while, partial liver resections were performed twice for recurrences in the segment 4 of the liver in June, 1994 and September, 1995. In September, 1997, a left lateral segmentectomy of the liver and a partial resection of the gastric wall were performed for recurrence in the residual liver which directly invaded the stomach. At that time, No. 6 lymph node metastasis was observed. Histologically, the surgical margin of the stomach was positive, and a distal gastrectomy with D1 lymph nodes dissection was carried out in October, 1997.<br> It is rare that metastatic tumor directly invades the stomach. We report the patient who is surviving for 5 years after the initial operation with aggressive liver resection.

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