A Case of Long-Term Survival Following Metastasectomies of Liver Metastasis, Lung Metastasis, and Peritoneal Dissemination of Cecal Cancer

Jun Yamamoto, Masato Nakano, Yoshifumi Shimada, Hitoshi Kameyama, Saki Yamada, Ryoma Yagi, Kumiko Tatsuda, Yosuke Tajima, Takuma Okamura, Mae Nakano, Masayuki Nagahashi, Jun Sakata, Takashi Kobayashi, Shin ichi Kosugi, Toshifumi Wakai

Research output: Contribution to journalArticlepeer-review

Abstract

The patient was a 73-year-old woman. She underwent right hemicolectomy and D3 lymph node dissection for cecal cancer in June 2003. Although a peritoneal dissemination was intraoperatively noted around the primary tumor lesion, it was resected concurrently and thus R0 surgery was accomplished. Postoperative adjuvant chemotherapy was not performed. During the follow-up on an outpatient basis, a solitary left lung metastasis was found and partial left upper lobectomy of the lung was performed in December 2004. A solitary liver metastasis was identified in the liver (S3), and lateral segmentectomy of the liver was performed in June 2007. The patient was alive with no evidence of recurrence 11 years and 9 months after resection of the primary lesion and 7 years and 9 months after the hepatectomy. Long-term survival can be achieved by performing resection without residual cancer even in some cases with metachronous metastatic recurrences in multiple organs. Metastasectomy should be considered proactively when the patient is in a good general condition and R0 resection is possible.

Original languageEnglish
Pages (from-to)1597-1599
Number of pages3
JournalGan to kagaku ryoho. Cancer & chemotherapy
Volume42
Issue number12
Publication statusPublished - 01-11-2015
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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