Gan to kagaku ryoho. Cancer & chemotherapy · 2024
[A Case of Resection of T2N0 Colon Cancer with Synchronous Solitary Lung Metastasis].
Клинический случайАннотация на английскомСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Shirai Yuji, Oshima Yuka, Ito Shingo, Suzuki Masashi, Fukasawa Maki, Ishikawa Kenji, Machimura Takao, Nohara Mako, Murayama Akitoshi, Sanada Kazumasa, Kamochi Junichiro, Ikoma Yoichiro, Kato Yuko, Sakata Seiji
Аннотация
A 73-year-old man was referred to our hospital for anemia. He underwent a colonoscopy; a 15-mm Ip polyp and a 30- mm type 1 lesion were found in the sigmoid colon. Pathological examination results indicated a well-differentiated adenocarcinoma. Thoracic computed tomography(CT)revealed a mass lesion 12 mm in diameter in the left lung lobe. The patient underwent a laparoscopic sigmoidectomy and D3 lymph node dissection and was discharged in a good condition. He then underwent a diagnostic-therapeutic segmental pulmonary resection for the pulmonary mass. Postoperative pathological findings indicated pT1b(SM), ly0, v0 and pT2(MP), ly1, v1, pN0 for the 2 lesions of the colon. The pulmonary mass was diagnosed as a metastatic adenocarcinoma based on immunostaining examination(CK7: negative, CK20: positive, TTF-1: negative, and CDX-2: positive). The patient is currently under follow-up as an outpatient without recurrence.