[A case of long-term survival in rectal cancer with late lung and kidney metastases treated with combined multimodality therapy].
A 59-year-old man was diagnosed with rectal cancer and a low anterior resection was performed. Bilateral lung metastases appeared 4 years and 4 months after the primary surgery. The lung metastases were resected and FOLFOX6 neoadjuvant chemotherapy was administered. An abdominal computed tomography (CT) scan 7 years and 11 months after the primary surgery revealed bilateral multiple lung metastases, a left renal tumor, and swelling in the surrounding lymph node. A left nephrectomy and lymph node dissection were performed. A diagnosis of renal tumor from rectal cancer metastasis was made. For the lung metastases, chemotherapy (sLV/5FU2+Bmab) was administered in 26 courses and stable disease was achieved. It is important to combine adequate surgical resection and systemic chemotherapy for long survival.
Dept. of Surgery, Osaka Rosai Hospital.
Masakazu
M
Ikenaga
Ho Min
HM
Kim
Toshiki
T
Hitora
Masaki
M
Hirota
Masahiro
M
Murakami
Naofumi
N
Oda
Masato
M
Yoshikawa
Hirotaka
H
Morishima
Junzo
J
Shimizu
Shoki
S
Mikata
Nobuki
N
Matsunami
Hideaki
H
Miwa
Junichi
J
Hasegawa
D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D003131:Combined Modality Therapy; D006801:Humans; D007680:Kidney Neoplasms / Q000188:drug therapy / Q000556:secondary* / Q000601:surgery; D008175:Lung Neoplasms / Q000188:drug therapy / Q000556:secondary* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D012004:Rectal Neoplasms / Q000188:drug therapy* / Q000473:pathology* / Q000601:surgery; D013997:Time Factors