title: [Multi-modarity treatment for colon liver metastases using biliary stent-report of a case].
abstract: We report the case of a 69-year-old male patient with diagnoses of sigmoid colon cancer, ascending colon cancer, and metastatic liver cancer. We performed sigmoidectomy, right hemicolectomy, and central venous port placement. Because the liver metastasis was multifocal, chemotherapy was first initiated and then hepatic resection was performed. However, during chemotherapy, ileus, with a peritoneal dissemination to the small intestine, developed. Small intestine resection and radiation therapy to the pelvic region of the transition were further performed. Thereafter, obstructive jaundice due to obstruction of the bile duct in the hilar area developed, and therefore, we inserted a biliary stent. However, 2 years 9 months after the first medical examination, this patient died of colon cancer. The guidelines above, still chemotherapy developed, treatment policy of recurrent colorectal cancer, have recommended surgical resection with respect to what resectable as local therapy. This case shows that combination therapy with chemotherapy, surgical therapy, radiation therapy, and local therapy such as biliary stenting, is useful.
authors.affiliation: Dept. of Surgery, Kyushu Central Hospital of Mutual Aid Association of Public School Teachers.
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Hasegawa
authors.forename: Kensuke
authors.initials: K
authors.lastname: Kudo
authors.forename: Dai
authors.initials: D
authors.lastname: Kitagawa
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Nakamura
authors.forename: Fumihiro
authors.initials: F
authors.lastname: Shohji
authors.forename: Akira
authors.initials: A
authors.lastname: Kabashima
authors.forename: Seiichi
authors.initials: S
authors.lastname: Teramoto
authors.forename: Wataru
authors.initials: W
authors.lastname: Funahashi
authors.forename: Masayuki
authors.initials: M
authors.lastname: Kitamura
mesh_terms: D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D002779:Cholestasis / Q000209:etiology / Q000628:therapy*; D003082:Colectomy; D003110:Colonic Neoplasms / Q000188:drug therapy* / Q000473:pathology / Q000601:surgery; D003131:Combined Modality Therapy; D017809:Fatal Outcome; D006498:Hepatectomy; D006801:Humans; D045823:Ileus / Q000209:etiology / Q000601:surgery; D008113:Liver Neoplasms / Q000188:drug therapy* / Q000556:secondary / Q000601:surgery; D008297:Male; D015607:Stents