[A long-term survival case of advanced sigmoid colon cancer with massive metastases to the para-aortic lymph nodes].
We report a long-term survival case of advanced sigmoid colon cancer with massive metastases to the para-aortic lymph nodes. The patient was a 63-year-old male. He underwent sigmoidectomy with D3 + para-aortic lymphadenectomy for advanced sigmoid colon cancer. Histological examination showed a moderately differentiated adenocarcinoma, ss, ly2, v2, n4 (total 30/64, para-aortic lymph nodes 18/39). From 6 months to 4 years after the operation, tegafur/uracil (UFT) was performed as chemotherapy. After 8-year disease-free interval, CT showed solitary mediastinal lymph node metastases. He underwent thoracoscopic mediastinal lymphadenectomy. Histological examination revealed metastases from colon cancer.
Ogino
Takayuki
T
Dept. of Gastrointestinal Surgery, Medical Center for Cancer and Cardiovascular Diseases.
Ohue
Masayuki
M
Noura
Shingo
S
Seki
Yosuke
Y
Goto
Kunihito
K
Motoori
Masaaki
M
Kishi
Kentaro
K
Eguchi
Hidetoshi
H
Yamada
Terumasa
T
Miyashiro
Isao
I
Tomita
Hirohiko
H
Ohigashi
Hiroaki
H
Yano
Masahiko
M
Ishikawa
Osamu
O
Imaoka
Shingi
S
D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001011:Aorta / Q000187:drug effects* / Q000473:pathology*; D014408:Biomarkers, Tumor / Q000097:blood; D006801:Humans; D008207:Lymphatic Metastasis / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D012811:Sigmoid Neoplasms / Q000097:blood / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D005641:Tegafur / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D014498:Uracil / Q000627:therapeutic use
D014408:Biomarkers, Tumor; D005641:Tegafur; D014498:Uracil