【机器人辅助切除新辅助化疗后肠系膜上静脉肿瘤血栓一例】。

Q4 Medicine
Takahiro Ishii, Takatoshi Matsuyama, Satoshi Hatano, Noriyasu Chika, Takehiro Shiraishi, Aoi Sugino, Hiroyasu Ishikawa, Toshifumi Saito, Norimichi Chiyonobu, Tetsuya Ito, Yoshiko Mori, Toru Ishiguro, Yoichi Kumagai, Hideyuki Ishida
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引用次数: 0

摘要

一名81岁妇女因严重贫血来我院就诊,诊断为结肠癌升结肠癌并肠系膜上静脉(SMV)肿瘤血栓。mFOLFOX6+贝伐单抗治疗8个疗程后,氟尿嘧啶+亚叶酸钙+贝伐单抗治疗7个疗程,原发病灶及肿瘤血栓缩小。然后我们进行了机器人辅助的右半结肠切除术和包括肿瘤血栓的SMV切除术。患者于术后第19天出院。组织学结果显示SMV内残留肿瘤血栓。患者术后4个月未接受辅助化疗,目前正在观察中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Robot-Assisted Resection for Ascending Colon Cancer with a Tumor Thrombus in the Superior Mesenteric Vein after Neoadjuvant Chemotherapy-A Case of Report].

An 81-year-old woman visited our hospital for severe anemia and was diagnosed with ascending colon cancer with a tumor thrombus in the superior mesenteric vein(SMV). After 8 courses of mFOLFOX6+bevacizumab therapy followed by 7 courses of fluorouracil and leucovorin+bevacizumab therapy, the primary lesion and tumor thrombus were found to be shrinkage. Then we performed robot-assisted right hemicolectomy and resection of SMV involving the tumor thrombus. The patient was discharged on postoperative day 19. Histological findings revealed residual tumor thrombus in the SMV. The patient is currently under observation at 4 months postoperatively without adjuvant chemotherapy.

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