Gan to kagaku ryoho. Cancer & chemotherapy · 2016
[A Case of Ovarian Cancer with Lymph Node Metastasis in the Lesser Curvature of the Stomach Resected Using Laparoscopic Surgery].
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Tanaka Katsunao, Jeongho Moon, Hatanaka Nobutaka, Inoue Masashi, Miyamoto Tatsuya, Yamaguchi Megumi, Seo Shingo, Misumi Toshihiro, Shimizu Wataru, Irei Toshimitsu, Suzuki Takahisa, Onoe Takashi, Sudo Takeshi, Shimizu Yosuke, Hinoi Takao, Tashiro Hirotaka
Аннотация
A 67-year-old woman, who was diagnosed with ovarian cancer with multiple metastases, underwent abdominal total hysterectomy, bilateral salpingo-oophorectomy, para-aortic lymph node dissection(b2), omental subtotal hysterectomy, and lower anterior rectal resection after receiving a combination of PTX plus CBDCA chemotherapy. Macroscopically, complete resection was achieved and histopathological examination of the resectedspecimen showedpoorly differentiatedserous adenocarcinoma. After surgery, additional chemotherapy was administered. However, increasing only lesser curvature of stomach lymph node, we performed laparoscopic lymph node resection as debulking surgery. It is often said that macroscopic complete resection of ovarian cancer improves the prognosis. In particular, we hope that this patient will survive longer with a sustainable quality of life as a result of laparoscopic stomach- andnerve -sparing surgery.