十二指腸に浸潤した大腸癌肝転移の1切除例

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  • A RESECTED CASE OF LIVER METASTASIS FROM COLON CANCER INVADING THE DUODENUM

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We report a resected case of liver metastases of colon cancer. The metastasis was found directly invading the duodenum. The patient was a 63-year-old female. One year and two months previously, sigmoidectomy and cholecystectomy had been performed for Dukes' C colon cancer and cholecystoli-thiasis. During follow up, an extrahepatically protruding tumor was found on the lower surface of the right lobe of the liver. In January 1993, extended posterior segmentectomy of the liver, pylorus-preserving pancreatoduodenectomy and regional lymph node dissection were performed. The largest metastasis was 8.0cm×7.0cm×7.0cm in size. Histologically, it was well-differentiated adenocarcinoma compatible with the primary colon cancer.<br> To the best of our knowledge, this is the first case of the liver metastasis treated by hepatopan-creatoduodenectomy. We think that combined resection, such as pylorus-preserving pan-creatoduodenectomy, is useful in treating liver metastasis invading neighboring organs or structures, if macrocopically curative resection has been achieved.

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