[直肠癌术后伴侧淋巴结、肝、肺转移1例,经多学科治疗根治性切除成功]。

Q4 Medicine
Yuji Ando, Masaya Kawai, Yuta Murai, Saki Kochi, Miyuki Toake, Hiromitsu Takahashi, Takahiro Irie, Hirotaka Momose, Yuki Tsuchiya, Kota Amemiya, Ryoichi Tsukamoto, Kumpei Honjo, Shun Ishiyama, Kiichi Sugimoto, Kazuhiro Sakamoto
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引用次数: 0

摘要

病人是一名50多岁的男性。既往有家族性腺瘤性息肉病(FAP)病史,诊断为遗传性多发性结直肠癌(RS, Rb)。因此,他接受了全结肠切除术和回肠造口术。术后6个月发现右侧外侧淋巴结转移、肝转移、双侧肺转移,后续给予CAPOX+贝伐单抗(Bmab) 5个疗程。由于患者化疗后CT和PET-CT评估为部分缓解(PR),因此每隔2个月对每个转移灶进行腹腔镜右侧淋巴结清扫、开放式肝部分切除术和机器人辅助肺部分切除术。自上次手术后6个月无复发。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[A Case of Rectal Cancer with Lateral Lymph Node, Liver and Lung Metastases after Surgery, Successfully Undergoing Radical Resection with Multidisciplinary Treatment].

The patient is a 50s-year-old man. He had a past history of familial adenomatous polyposis(FAP)and was diagnosed with hereditary multiple colorectal cancer(RS, Rb). Therefore, he underwent total colectomy with ileostomy. Six months after surgery, right lateral lymph node metastasis, liver metastasis, and bilateral lung metastasis were pointed out, so 5 courses of CAPOX+bevacizumab(Bmab)were subsequently administered. Since the patient was evaluated as a partial response(PR)on CT and PET-CT after chemotherapy, laparoscopic right lateral lymph node dissection, open partial hepatectomy, and robot-assisted partial lung resection were performed on each metastatic lesion at each 2 months intervals. He has no recurrence for 6 months since last surgery.

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