Gan to kagaku ryoho. Cancer & chemotherapy · 2019
[A Middle-Term Survival Case of Pancreas Tail Cancer with Colonic Obstruction].
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Ohmura Yoshiaki, Takeda Yutaka, Katsura Yoshiteru, Sakamoto Takuya, Kawai Kenji, Yanai Ayako, Inatome Junichi, Murakami Kohei, Naito Atsushi, Kagawa Yoshinori, Masuzawa Toru, Takeno Atsushi, Egawa Chiyomi, Goto Takayoshi, Murata Kohei
Аннотация
A 63-year-old man had abdominal pain and sequential constipation and diarrhea. He complained of abdominal pain and vomiting, and was admitted to the hospital with a diagnosis of ileus. CT demonstrated a colonic obstruction at the splenic flexure, which was suspected to be colon cancer. Ileostomy was performed in March 2015, and he underwent radical resection in May 2015. Cancer of the pancreas tail had invaded the spleen, colon, stomach, and left renal capsule. Distal pancreatectomy was performed, along with extended right hemicolectomy, left nephrectomy, partial gastrectomy, and stoma closure. He received adjuvant chemotherapy for 6 months after the operation. He is alive without recurrence of pancreatic cancer for over 3 years.