A Long-Term Survival Patient with Advanced Gallbladder Cancer Massively Metastasizing to the Liver.
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概要
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A case of gallbladder carcinoma was reported. A 42-year-old woman was admitted with epigastralgia. Abdominal ultrasonography, computed tomography, and other diagnostic modalities suggested gallbladder carcinoma with multiple liver metastases. These findings indicated no surgical procedure because of the advanced nature of her disease. After the hepatic arterial chemoinfusion therapy, her multiple liver metastatic lesions showed a decrease in size and number. Therefore, extended left lobectomy of the liver with gallbladder and bile duct resection were performed. Five years after initial operation, a solitary liver metastatic lesion (S5) was diagnosed by ultrasonography. Partial resection of the liver was performed for the liver metastasis, and her postoperative recovery was uneventful and had a good follow-up course. One year after the second operation bone metastases occurred, therefore, peroral administration of UFT (Tegafur+Uracil) and radiation therapy for the metastatic lesions of sternum and lumbar vertebra (L1) were performed.
- 久留米大学医学部 The Kurume Medical Journal 編集部の論文
著者
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AOYAGI Shigeaki
Department of Cardiovascular Surgery, Kurume University School of Medicine
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Tanaka Eiji
Department Of Digestion And Cardiovascular Medicine University Of Tokushima
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Eriguchi Naofumi
Department Of Surgery Kurume University School Of Medicine
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Fukuda Shuichi
Department Of Cardiovascular Medicine Graduate School Of Medicine University Of Tokyo
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Tanaka Masatoshi
Department Of Comprehensive Management Matsumoto University
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Imamura Ichiro
Department Of Surgery And Science Graduate School Of Medical Sciences Kyushu University
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Hashimoto Mitsuo
Department of Chemistry Faculty of Arts and Sciences Ibaraki University
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HASHIMOTO MITSUO
Departments of Surgery, Kurume University School of Medicine
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Hara Masao
Department of Industrial Chemistry, Faculty of Engineering, Yamaguchi University
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ERIGUCHI NAOFUMI
Departments of Surgery, Kurume University School of Medicine
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TANAKA MASATOSHI
Departments of Medicine, Kurume University School of Medicine
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HASHINO KOUTARO
Departments of Surgery, Kurume University School of Medicine
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FUKUDA SHUICHI
Departments of Surgery, Kurume University School of Medicine
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