title: [A long term survival case of advanced colon cancer with adjacent organ involvement and multiple liver metastases].
abstract: We report a long-term survival case of advanced colon cancer with adjacent organ involvement and multiple liver metastases. A 50-year-old man was admitted to our hospital because of occult bloody feces. An advanced colon cancer of the cecum was found with a colonoscopy. Histopathologically, it was a moderately differentiated adenocarcinoma with a biopsy examination. Abdominal CT showed advanced colon cancer with adjacent organ involvement and multiple liver metastases. He received right hemi-colon resection and right hepatic lobectomy. The patient was followed by 8 courses of adjuvant chemotherapy with 5-FU. He has been doing well without any recurrence for five years and six months after the operation. Usually the prognoses of Stage IV colorectal cancer patients are very unpleasant. Even thougn a few patients with Stage IV colorectal cancer can be a long-term survivor after multiple operations, we need to consider carefully the indication of the operation and QOL for a Stage IV colorectal cancer patient.
authors.affiliation: Dept. of Surgery, Minoh City Hospital Gastrointestinal Center, Research Center.
authors.forename: Rio
authors.initials: R
authors.lastname: Handa
authors.forename: Takeshi
authors.initials: T
authors.lastname: Kato
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Miyake
authors.forename: Kazuteru
authors.initials: K
authors.lastname: Oshima
authors.forename: Satoshi
authors.initials: S
authors.lastname: Oshima
authors.forename: Shohei
authors.initials: S
authors.lastname: Iijima
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Yamamoto
authors.forename: Eiji
authors.initials: E
authors.lastname: Kurokawa
authors.forename: Nobuteru
authors.initials: N
authors.lastname: Kikkawa
mesh_terms: D000230:Adenocarcinoma / Q000556:secondary*; D002430:Cecal Neoplasms / Q000473:pathology*; D017024:Chemotherapy, Adjuvant; D003082:Colectomy; D005472:Fluorouracil / Q000627:therapeutic use; D006498:Hepatectomy; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009367:Neoplasm Staging; D017741:Survivors
chemical_list: D005472:Fluorouracil