Gan to kagaku ryoho. Cancer & chemotherapy · 2012
[A case of intussusception due to sigmoid colon cancer during mFOLFOX6 therapy].
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Kida Kazutoshi, Kawasaki Atsushi, Mimatsu Kenji, Fukino Nobutada, Kuboi Youichi, Kano Hisao, Oida Takatsugu
Аннотация
We experienced a rare case of intussusception due to sigmoid colon cancer during chemotherapy. A-62-year-old female was started on mFOLFOX6 due to sigmoid colon cancer and hepatic metastases(stage IV). After 2 courses, she had abdominal pain and bloody stool. Abdominal ultrasonography showed a target sign, and abdominal CT showed edema of the mucosa of the sigmoid colon and invagination. She was diagnosed with intussusception due to sigmoid colon cancer, and underwent a bloodless reduction. However, because it was unavailable, we performed an emergency operation. The sigmoid colon invaginated 10 cm to the anal side. We then performed sigmoidectomy and lymphadenectomy(D2). The histopathological diagnosis was mucinous carcinoma, stage I. There was no report of intussusception with the chemotherapy. It is important to consider the intussusception of colon cancer even during chemotherapy.