title: [A long-term survival case of far-advanced colon cancer with Virchow's lymph node and lung metastasis that responded to multidisciplinary therapy].
abstract: The patient was a 73-year-old male. Under a diagnosis of advanced cecal colon cancer with metastasis to Virchow's and paraaortic lymph nodes and lungs, a laparoscopic-assisted ileocecal resection with D2 lymph node dissection was performed. Histological examination of the resected specimens revealed moderately-differentiated adenocarcinoma which had invaded the terminal ileum. The lesion was judged to be SI(ileum), N2, H0, P0, M1(Virchow's lymph node, No. 216, lungs), Stage IV. After the operation, he received chemotherapy with 5-FU/l-LV(RPMI method), LV/UFT, FOLFOX, FOLFIRI in succession, and cancer aggravation was generally controlled. He has survived for 3 years since operation, and shows good QOL under the treatment.
authors.affiliation: Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences, Japan.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Takahashi
authors.forename: Tsuneo
authors.initials: T
authors.lastname: Iiai
authors.forename: Yoshifumi
authors.initials: Y
authors.lastname: Shimada
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Kobayashi
authors.forename: Kazutaka
authors.initials: K
authors.lastname: Suda
authors.forename: Akira
authors.initials: A
authors.lastname: Iwaya
authors.forename: Satoshi
authors.initials: S
authors.lastname: Maruyama
authors.forename: Tatsuo
authors.initials: T
authors.lastname: Tani
authors.forename: Katsuyoshi
authors.initials: K
authors.lastname: Hatakeyama
mesh_terms: D000368:Aged; D000970:Antineoplastic Agents / Q000627:therapeutic use*; D001706:Biopsy; D002272:Carcinoembryonic Antigen / Q000097:blood; D002430:Cecal Neoplasms / Q000097:blood / Q000188:drug therapy* / Q000473:pathology* / Q000601:surgery; D003131:Combined Modality Therapy; D006801:Humans; D008175:Lung Neoplasms / Q000097:blood / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000556:secondary*; D008207:Lymphatic Metastasis / Q000473:pathology; D008297:Male; D009367:Neoplasm Staging; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000970:Antineoplastic Agents; D002272:Carcinoembryonic Antigen