title: [A surgical (pancreatoduodenectomy) case of lymph node metastatic recurrence of colon cancer after chemotherapy].
abstract: A woman in her fifties underwent a right hemicolectomy (D3) for cancer of the ascending colon in October 2007, definitively and pathologically diagnosed as papillary adenocarcinoma invading to the subserosa, and no metastasis was detected to lymph node. But 13 months after the surgery, she was found to have a mass near the anastomosis by an abdominal CT scan. Colonoscopy showed an evaluating lesion with ulcer in the anal side of the anastomosis. We tried to resect the metastasis, but it was not resectable because of the invasion to the pancreas. The mFOLFOX regimen was effective. After the chemotherapy (6 courses), we decided to perform a radical resection. We conducted pancreatoduodenectomy in May 2009. She is still alive 12 months after surgery.
authors.affiliation: Dept. of Surgery, Kenseikai Nara Coloproctology Center.
authors.forename: Kentaro
authors.initials: K
authors.lastname: Yamaoka
authors.forename: Naoki
authors.initials: N
authors.lastname: Inatsugi
authors.forename: Shusaku
authors.initials: S
authors.lastname: Yoshikawa
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Masuda
authors.forename: Hideki
authors.initials: H
authors.lastname: Uchida
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Kuge
authors.forename: Tomoyo
authors.initials: T
authors.lastname: Yokotani
authors.forename: Takaya
authors.initials: T
authors.lastname: Yamaguchi
authors.forename: Chihiro
authors.initials: C
authors.lastname: Kawaguchi
authors.forename: Takayoshi
authors.initials: T
authors.lastname: Shimobayashi
authors.forename: Mizumi
authors.initials: M
authors.lastname: Inagaki
authors.forename: Masaki
authors.initials: M
authors.lastname: Matsuoka
authors.forename: Koichi
authors.initials: K
authors.lastname: Tatsumi
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Saraya
authors.forename: Toshio
authors.initials: T
authors.lastname: Otsuji
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Yamochi
authors.forename: Kozo
authors.initials: K
authors.lastname: Yamanishi
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Enomoto
authors.forename: Akitaka
authors.initials: A
authors.lastname: Nonomura
authors.forename: Masayuki
authors.initials: M
authors.lastname: Sho
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Nakajima
mesh_terms: D000231:Adenocarcinoma, Papillary / Q000473:pathology* / Q000628:therapy*; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D003110:Colonic Neoplasms / Q000473:pathology* / Q000628:therapy*; D004386:Duodenum / Q000601:surgery; D005260:Female; D005472:Fluorouracil / Q000627:therapeutic use; D006801:Humans; D002955:Leucovorin / Q000627:therapeutic use; D008207:Lymphatic Metastasis / Q000473:pathology*; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D009944:Organoplatinum Compounds / Q000627:therapeutic use; D010180:Pancreatectomy; D010190:Pancreatic Neoplasms / Q000556:secondary* / Q000628:therapy*
chemical_list: D009944:Organoplatinum Compounds; D002955:Leucovorin; D005472:Fluorouracil