Gan to kagaku ryoho. Cancer & chemotherapy · 2023
[A Case of Radical Resection after Neoadjuvant Chemotherapy for Rectal Cancer with Pelvic Abscess].
Клинический случайАннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Osaki Mao, Takahashi Yusuke, Tokuyama Shinji, Kawai Kenji, Matsui Yuki, Toshiyama Reishi, Yamamoto Masaaki, Sakai Kenji, Takeno Atsushi, Gotoh Kunihito, Miyazaki Michihiko, Takami Koji, Hirao Motohiro, Kato Takeshi
Аннотация
A 66-year-old man with a history of frequent diarrhea was diagnosed with rectal cancer with obstruction and a pelvic abscess. Following a transverse colostomy, he was referred to our hospital. The initial diagnosis was rectal cancer(cT4a N1bM0, cStage Ⅲb)and a pelvic abscess due to tumor perforation. To address this condition, we performed neoadjuvant chemotherapy using a combination of 5-fluorouracil, Leucovorin, oxaliplatin, and irinotecan(FOLFOXIRI). Following 6 courses of FOLFOXIRI, the abscess disappeared and no signs of tumor progression and distant metastases were detected. Subsequently, we performed radical resection with D3LD2 lymph node dissection, leading to a pathological diagnosis of ypT3N1aM0, ypStage Ⅲb. The patient then underwent adjuvant chemotherapy with capecitabine and oxaliplatin(CAPOX). No recurrence was observed after 9 months of follow-up.