ＴＡＥ療法が奏効した直腸カルチノイド肝転移・長期生存の１例

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  • A CASE OF LIVER METASTASES OF RECTAL CARCINOID SUCCESSFULLY TREATED WITH TRANSARTERIAL EMBOLIZATION: A LONG-TERM SURVIVAL CASE

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A 65-year-old man, complaining of constipation, was admitted to the hospital because a hard and unmovable mass was palpated in the lower rectum on a digital examination. Barium enema and a colonoscopy revealed an elevated lesion about 3 cm in diameter in the rectum and a biopsy under colonoscopy offered a suspicion of carcinoid tumor. For the rectal tumor which invaded the sacral bone, an abdominoperineal resection was performed. Radiation therapy to the sacrum was added after the operation. Eighteen months later hepatic metastases occurred and transarterial embolization (TAE) was performed. Though the metastatic foci temporalily diminished with the TAE, recurrence was repeated and therafter a total of three times of TAE were conducted. Eight years after the operation multiple lung and bone metastases occurred, and 6 months later the patient died of respiratory failuse due to ling metastasis. It is thought that aggressive multidisciplinary therapy is useful for advanced rectal carcinoid tumor like in this case.

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