A CASE OF ANASTOMOTIC RECURRENCE SOON AFTER CURATIVE SURGERY OF DESCENDING AND RECTAL CANCER

• SONODA Hiromichi

  Department of Surgery, Shiga University of Medical Science

• ENDO Yoshihiro

  Department of Surgery, Shiga University of Medical Science

• MEKATA Eiji

  Department of Surgery, Shiga University of Medical Science

• TANI Tohru

  Department of Surgery, Shiga University of Medical Science

Bibliographic Information

Other Title

• 下行結腸，直腸多発癌治癒切除術後早期吻合部再発の１例

Abstract

The patient was a 65-year-old man who underwent a left hemi-colectomy for advanced descending colon and higher rectal carcinoma. After 3 months from the initial surgery, he complained of frequent bowel movement. Colon histology revealed anastomotic recurrence. Consequently, a histological diagnosis of poorly differentiated adenocarcinoma was made, and an operation with Microtaze coagulation therapy (MCT) was performed. The tumor diffusely invaded the small intestine, left ureter, and presacral space. Radiotherapy was applied to the pelvic region at a total dose of 60cGy. Chemotherapy with FOLFILI was administered for 1 cycle. However, the tumor continued to grow rapidly, and the patient died 9 months after the initial surgery. It is suggested that intraoperative peritoneal chemotherapy is necessary for high-risk patients with peritoneal dissemination.

Journal

• Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

  Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 67 (10), 2424-2426, 2006

  Japan Surgical Association

Keywords

• 大腸癌
• 腹膜播種
• 吻合部再発

Details

• CRID: 1390001204846696320
• NII Article ID: 10018391222
• NII Book ID: AA11189709
• DOI: 10.3919/jjsa.67.2424
• ISSN: 18825133
• ISSN: 13452843
• ISSN: http://id.crossref.org/issn/13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/67/10/67_10_2424/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2007089584
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed