[Four resections of metachronous liver metastases and lateral lymph node metastases of a rectal carcinoid tumor - a case report].
The authors present a case of rectal carcinoid tumor with lateral lymph node metastases and liver metastases that was successfully treated by 4 resections. A 70-year-old man was diagnosed with a rectal carcinoid tumor (20 mm in diameter) with submucosal (SM) invasion. Radical resection was performed at 25 months, 38 months, and 57 months, when abdominal computed tomography (CT) revealed metachronous liver metastases of the rectal carcinoid tumor. At 50 months, metachronous lateral lymph node metastases were also revealed. Three hepatectomies and a laparoscopic lateral lymph node dissection were performed. The patient is currently free of disease at 25 months after the last intervention.
Dept. of Surgery, Nara Medical University.
Takayuki
T
Nakamoto
Fumikazu
F
Koyama
Tadashi
T
Nakagawa
Shinji
S
Nakamura
Takeshi
T
Ueda
Naoto
N
Nishigori
Takashi
T
Inoue
Keijirou
K
Kawasaki
Shinsaku
S
Obara
Hisao
H
Fujii
Yoshiyuki
Y
Nakajima
D000368:Aged; D002276:Carcinoid Tumor / Q000556:secondary* / Q000601:surgery; D006498:Hepatectomy; D006801:Humans; D007414:Intestinal Neoplasms / Q000556:secondary* / Q000601:surgery; D008113:Liver Neoplasms / Q000556:secondary / Q000601:surgery*; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D008297:Male; D012004:Rectal Neoplasms / Q000473:pathology* / Q000601:surgery