異時性孤立性ひ転移をきたした大腸多発癌の１例 [in Japanese] A Case Report of Metachronous Solitary Splenic Metastasis from Double Cancer of the Colon and Rectum. [in Japanese]
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今回われわれは,異時性孤立性脾転移をきたしたS状結腸癌,直腸癌の多発癌の1例を経験した.症例は67歳,女性, 1999年5月に直腸低位前方切除術施行.腫瘍は直腸およびS状結腸に認められた.術後9カ月で,血清CEAの上昇を契機にCT, MRI, USにて異時性孤立性脾転移と診断され, 2000年3月脾臓摘出術施行された.直腸低位前方切除術後20カ月で吻合部局所再発を認め, 2001年1月腹会陰式直腸切断術施行された.脾摘後13カ月の現在,化学療法施行され経過良好である.大腸癌孤立性脾転移について自験例を含めた19例の報告についての文献的考察を加え報告した.
We experienced a case of metachronous solitary splenic metastasis from double cancer of the colon and rectum. The patient was a 67-year-old woman who had undergone a lower anterior resection of the rectum in May 1999. There were two tumors of the rectum and sigmoid colon. Because of rising CEA levels in the sera 9 months after the surgery she underwent an abdominal CT scan, MRI and ultrasonography, from which she was diagnosed as having metachronous solitary splenic metastasis in December 2000. Furthermore, in January 2001, an abdominoperineal rectal amputation was performed for local anastomotic recurrence which was detected 19 months after the lower anterior resection of the rectum. At present, 15 months after the splenectomy, the patiem has been well and has been undergoing chemotherapy. In addition to the presentation of our case, we review 19 cases including ours of metachronous solitary splenic metastasis of colorectal cancer reported in Japan.
- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 62(12), 3077-3081, 2001
Japan Surgical Association