A CASE OF LONG TERM SURVIVAL OF A COLON CANCER PATIENT WITH RESECTION OF RECURRENCE IN THE OVARY AND PARAAORTIC LYMPH NODES

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  • 上行結腸癌術後，卵巣転移・大動脈周囲リンパ節転移に対し外科的切除および化学療法にて長期無再発生存を得た１例

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Abstract

A 47-year-old female who was diagnosed as having ascending colon cancer underwent right hemicolectomy and received a chemotherapy in 1994. After 5 years, the tumor markers (CEA, CA19-9) were elevated, but obvious recurrence was not detected. In 2002, CT and MRI showed bilateral ovarian tumors, and hystero-oophorectomy was performed. The histopathological diagnosis was bilateral metastatic ovarian tumor from the colon cancer. In 2003, she felt an abdominal mass, and a CT revealed a paraaortic tumor. She was diagnosed as developed paraaortic lymph nodes recurrence of the colon cancer, and a lymph nodes, resection was performed. She received an adjuvant chemotherapy for 6 months. After 5 years from the last operation, she is surviving without any recurrence of the cancer, now. A long term survival may be achieved in a recurrence of colon cancer, if the recurrence site is surgically resectable.

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