A Case of Effective Multisciplinary Treatment for Carcinoma of the Ileum with Multiple Organ Metastases
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概要
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A 64-year-old man admitted for abdominal pain had ileus symptoms due to intestinal obstruction and was found in colonoscopy to have an upheaval tumor with rand wall in the terminal ileum. Histological biopsy of the tumor showed adenocarcinoma. Abdominal CT showed a round 80×60mm tumor with a clear border in the right hepatic lobe together with several swollen lymph nodes around the aorta, which we diagnosed as primary cancer of the ileum and liver and lymph nodes metastasis, necessitating ileocecal resection and right hepatic lobectomy. Pathologically, the tumor consisted of moderately differentiated adenocarinoma invading the serosa. The solitary hepatic tumor consisted of metastatic adenocarcinoma. Lymph nodes around the aorta were reduced after chemotherapy. Subsequent bilateral lung metastasis disappeared after another cycle of chemotherapy, as did spine metastasis after radiation. The man is doing well two years and six months after surgery. Carcinoma of the small intestine usually has a poor prognosis. Multisciplinary treatment with surgery may improve prognosis, so we recommend proactive treatment.
- 一般社団法人 日本消化器外科学会の論文
一般社団法人 日本消化器外科学会 | 論文
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