[A case of lymph node metastasis after 7 years from Hartmann's operation for stage IV sigmoid colon carcinoma].
The case was a 49-year-old woman. In 1995, she underwent Hartmann's operation for sigmoid colon carcinoma. Histological stage was IV [se, n4(+), P0, H0, M(-)]. Adjuvant chemotherapy was performed by MMC and 5'-DFUR. After 7 years from the surgery, she had a lumbar pain. CT examination revealed a retroperitoneal tumor-like shadow and Para-aortic lymph nodes were swelling. In 2002, she underwent probe laparotomy. There were massive lymph nodes metastasis, and tumor resection was impossible. Following several systemic chemotherapies such as UFT/CPT-11 and TS-1, the tumor progressed and liver metastasis appeared. After 9 years from the first operation, she is still able to eat and her performance status is 1.
Katsumoto
Yoshihiro
Y
Dept. of Surgery, Suita Municipal Hospital.
Maruyama
Ken-taro
KT
Furukawa
Junkou
J
Nagai
Ken-ichi
K
Maruyama
Naomi
N
Tanaka
Jun-ichi
J
Yokoyama
Shigekazu
S
Yokouchi
Hideoki
H
Kinuta
Masakatsu
M
D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D017024:Chemotherapy, Adjuvant; D005260:Female; D006801:Humans; D007813:Laparotomy; D008207:Lymphatic Metastasis; D008875:Middle Aged; D012186:Retroperitoneal Neoplasms / Q000556:secondary; D012811:Sigmoid Neoplasms / Q000473:pathology / Q000601:surgery*; D013997:Time Factors