Gan to kagaku ryoho. Cancer & chemotherapy · 2023
[A Case of Cecum Cancer with Lymph Node Metastasis and Invasion in the Superior Mesenteric Vein Treated with Combined SMV Resection and Reconstruction].
Клинический случайАннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Kawaguchi Megumi, Kawai Masaya, Ii Yuki, Irie Takahiro, Kobari Aya, Tsukamoto Ryoichi, Honjo Kumpei, Okazawa Yu, Takahashi Rina, Kawano Shingo, Munakata Shinya, Sugimoto Kiichi, Takahashi Makoto, Tomiki Yuichi, Sakamoto Kazuhiro
Аннотация
The patient was a 77-year-old woman. She visited her family doctor with a complaint of bloody stools, and was pointed out a Type 3 colon cancer in the cecum with a colonoscopy. In addition, an enlarged lymph node(#203)was found on the right side of the superior mesenteric vein(SMV). Laparoscopic surgery was initiated, and when the patient was moved to vascular processing, a firm adhesion of the lymph node(#203)was observed on the right side of the SMV. A small laparotomy was added, and a partial combined resection of the SMV was performed en bloc to complete the ileal resection. Histopathological findings showed T4b(transverse colon)N3M0, pStage Ⅲc, and metastatic lymph node(#203)showed evidence of invasion to the SMV. Adjuvant chemotherapy was administered, but lung metastases appeared 4 months and liver metastasis appeared 29 months after surgery. The patient was transferred to a different hospital for best supportive care(BSC)at 34 months after surgery.