胃癌と上行結腸癌に対して胃内視鏡的凝固療法と結腸右半切除術を施行した骨髄異形成症候群の１例

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  • Right Hemicolectomy for Colon Cancer and Endoscopic Microwave Coagulation Therapy for Gastric Cancer with myelodysplastic syndrome: Case Report.

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A 73-year-old man was transferred to our hospital because of right abdominal pain. Upper gastrointestinal endoscopy and colonoscopy demonstrated double cancers of an early gastric and advanced ascending co-loncancer. A bone marrow biopsy performed for pancytopenia led to the diagnosis of myelodysplastic syndrome (MDS) associated with refractory anemia with excess of blasts in transformation. Right hemicolectomy was performed with partial resection of the abdominal wall, where the ascending colon cancer had invaded and formed abscess. Postoperatively, the patient was managed in a portable sterile bed and received transfusions of packed red blood cells and platelets, and antibiotics, and not granulocyte colony stimulating factor (G-CSF). His postoperative course was uneventful. After discharge, the patient underwent endoscopic micro-wave coagulation therapy for gastric cancer. He died ofsepsis secondary to pneumonia three months after surgery.

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