根治切除が可能であった同時性4重複癌(肺, 食道, 直腸, 腎)の1例  [in Japanese] A surgically resected case of synchronous quadruple cancer : Lung, esophageal, rectal, and renal cancer  [in Japanese]

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Abstract

症例は77歳,男性,検診時胸部X線で右肺野に異常影を指摘され受診,精査により肺癌,食道癌,右腎腫瘍,直腸腫瘍を認めた.いずれも根治切除可能と判断し,まず右中葉切除術,胸・腹部食道亜全摘術,縦隔・腹部リンパ節郭清,後縦隔経路胃管再建術を施行した.肺癌は混合型腺癌,pT1bN0M0,pStageIA,食道癌は中分化型扁平上皮癌,pT3N2M0,pStageIIIであった.退院後,他院泌尿器科にて,右腎摘出術を施行され12mm大の腎細胞癌と診断された.その後,直腸腫瘍に対して内視鏡下腫瘍切除術が施行され,adenocarcinoma in adenomaと診断された.術後2年6ヵ月を経過したが,再発の兆候なく外来通院中である.

A 77-year-old man was admitted to our hospital because of a tumor shadow in the right middle lung field. CT scan revealed right lung, esophageal, and right renal tumors. Colonoscopy detected a rectal tumor. Right middle lobectomy, esophagectomy, and esophageal reconstruction of the gastric tube through the posterior mediastinum were performed. The pathological diagnosis was adenocarcinoma with mixed subtypes of the lung and moderately differentiated squamous cell carcinoma of the esophagus, respectively. Metastatic squamous cell carcinomas were detected in superior mediastinal and perigastric lymph nodes. Then, a right nephrectomy (pathologically, renal cell carcinoma) and endoscopic resection of the rectal tumor (pathologically, adenocarcinoma in adenoma) were performed. Our case indicates that radical resections were performed safely for synchronous quadruple cancer. He has been well, without any sign of recurrence, for 2 and half years after the right middle lobectomy and esophagectomy.

Journal

  • The Journal of the Japanese Association for Chest Surgery

    The Journal of the Japanese Association for Chest Surgery 25(5), 573-577, 2011-07-15

    The Japanese Association for Chest Surgery

References:  12

Cited by:  1

Codes

  • NII Article ID (NAID)
    10029125900
  • NII NACSIS-CAT ID (NCID)
    AN10467885
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    09190945
  • Data Source
    CJP  CJPref  J-STAGE 
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