口部咽頭癌に外科的療法, 肝癌に肝動脈塞栓術を行った同時性重複癌の1例

概要

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The increasing incidence of multiple cancer in recent years has emphasized the importance of active and multimodal treatment for this disease. We have recently experienced a patient undergoing surgical treatment performed for oropharyngeal cancer and transcatheter arterial embolization for hepatic cancer in whom 2 years have passed postoperatively without any signs of recurrence or metastasis of either the oral or hepatic tumor. The case is described in this report.<BR>The patient was a 61-year-old male who had chronic hepatitis. On February 6, 1990, he initially presented at our clinic with the main complaints of redness of the oral mucosa and pain during eating. His oral lesion was definitivery diagnosed as squamous cell carcinoma of the left lateral oropharynx and tongue by incisional biopsy, and he was admitted to our hospital on February 20 of the same year. Concurrent hepatic cancer was suspected based on the results of in-depth preoperative general examinations. On May 16, laparoscopy was performed at the same time as surgical treatment for the oral cancer, and the hepatic lesion was diagnosed as primary hepatocellular carcinoma. On May 17, transcatheter arterial embolization was performed for hepatic cancer, and on July 14, he was discharged after postoperative adjuvant radiotherapy of the oral primary region and neck.