Proctocolectomy for colon cancer associated with ulcerative colitis a few months after living donor liver transplantation for primary sclerosing cholangitis: report of a case.
Colorectal cancer (CRC) frequently develops in patients with ulcerative colitis (UC). We report a case of CRC treated successfully by proctocolectomy 8 months after living donor liver transplantation (LDLT) for primary sclerosing cholangitis (PSC). The lesion was detected early, probably as a result of colonoscopic surveillance after LDLT. Thus, patients with a long history of UC, who undergo LDLT for PSC, should be followed up with regular surveillance colonoscopy. Moreover, surgery, such as radical resection of the colon and rectum should be performed without delay, even shortly after LDLT. To our knowledge, this is the first report of a patient undergoing proctocolectomy after LDLT.
Fukuhara
Takasuke
T
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
Egashira
Akinori
A
Imamura
Masakazu
M
Ikegami
Toru
T
Oki
Eiji
E
Soejima
Yuji
Y
Sadanaga
Noriaki
N
Taketomi
Akinobu
A
Yao
Takashi
T
Morita
Masaru
M
Kakeji
Yoshihiro
Y
Tsuneyoshi
Masazumi
M
Maehara
Yoshihiko
Y
D000230:Adenocarcinoma / Q000150:complications / Q000473:pathology / Q000601:surgery*; D000714:Anastomosis, Surgical; D015209:Cholangitis, Sclerosing / Q000150:complications / Q000473:pathology / Q000601:surgery*; D003093:Colitis, Ulcerative / Q000150:complications* / Q000473:pathology / Q000601:surgery; D003110:Colonic Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D042241:Early Diagnosis; D006801:Humans; D016031:Liver Transplantation; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D016896:Treatment Outcome