再発巣を4度切除し7年生存中のstage IV大腸粘液癌の1例

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  • AN 7-YEAR SURVIVING PATIENT WITH STAGE IV MUCINOUS CARCINOMA OF THE COLON WITH RESECTION OF METASTATIC FOCI 4 TIMES

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We report a patient with stage IV mucinous carcinoma of the colon who is surviving for 7 years after the initial operation with resection of metastatic foci 4 times. The patient was a 47-year-old man. In October, 1990, he underwent a laparotomy for a cancer of the transverse colon adhered to the jejunum, when peritoneal dissemination was noted in the greater omentum and resections of the transverse colon, jejunum and omentum with colostomy were performed. Pathological report was mucinous carcinoma, H0, P1 and stage IV. Another peritoneal dissemination involved the descending colon and ileum appeared and was resected in November 1993. A recurrence of the abdominal wall incision appeared and was resected in February, 1996. Peritoneal dissemination involved the ileum and left ureter appeared which was resected in May, 1997 and metastasis to the left external iliac lymph node was resected in March, 1998. In spite of 4 times of operations for metastasis, the patient is doing well as of 7 years after the initial operation. It is thought that we were able to resect lesions because no synchronous multiple metastasis had occurred. The positive additional resection for metastasis is useful for long term survival if the lesion is solitary.

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