title: [A Case of Long-Term Survival Following Metastasectomies of Liver Metastasis, Lung Metastasis, and Peritoneal Dissemination of Cecal Cancer].
abstract: The patient was a 73-year-old woman. She underwent right hemicolectomy and D3 lymph node dissection for cecal cancer in June 2003. Although a peritoneal dissemination was intraoperatively noted around the primary tumor lesion, it was resected concurrently and thus R0 surgery was accomplished. Postoperative adjuvant chemotherapy was not performed. During the follow-up on an outpatient basis, a solitary left lung metastasis was found and partial left upper lobectomy of the lung was performed in December 2004. A solitary liver metastasis was identified in the liver (S3), and lateral segmentectomy of the liver was performed in June 2007. The patient was alive with no evidence of recurrence 11 years and 9 months after resection of the primary lesion and 7 years and 9 months after the hepatectomy. Long-term survival can be achieved by performing resection without residual cancer even in some cases with metachronous metastatic recurrences in multiple organs. Metastasectomy should be considered proactively when the patient is in a good general condition and R0 resection is possible.
authors.affiliation: Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences.
authors.forename: Jun
authors.initials: J
authors.lastname: Yamamoto
authors.forename: Masato
authors.initials: M
authors.lastname: Nakano
authors.forename: Yoshifumi
authors.initials: Y
authors.lastname: Shimada
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Kameyama
authors.forename: Saki
authors.initials: S
authors.lastname: Yamada
authors.forename: Ryoma
authors.initials: R
authors.lastname: Yagi
authors.forename: Kumiko
authors.initials: K
authors.lastname: Tatsuda
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Tajima
authors.forename: Takuma
authors.initials: T
authors.lastname: Okamura
authors.forename: Mae
authors.initials: M
authors.lastname: Nakano
authors.forename: Masayuki
authors.initials: M
authors.lastname: Nagahashi
authors.forename: Jun
authors.initials: J
authors.lastname: Sakata
authors.forename: Takashi
authors.initials: T
authors.lastname: Kobayashi
authors.forename: Shin-ichi
authors.initials: S
authors.lastname: Kosugi
authors.forename: Toshifumi
authors.initials: T
authors.lastname: Wakai
mesh_terms: D000368:Aged; D002430:Cecal Neoplasms / Q000473:pathology* / Q000601:surgery; D005260:Female; D006498:Hepatectomy; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary / Q000601:surgery*; D008175:Lung Neoplasms / Q000556:secondary / Q000601:surgery*; D059146:Metastasectomy; D010534:Peritoneal Neoplasms / Q000556:secondary / Q000601:surgery*; D011013:Pneumonectomy; D013997:Time Factors; D016896:Treatment Outcome