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Ken Takeuchi, Nobutaka Hayakawa, Motofumi Ouchi
A 81-year-old man had undergone high anterior resection for rectalcancer in 20XX. Abdominalcomputed tomography (CT)showed an isolated shadow of 2 cm in size in the liver, 9 years after surgery for colorectal cancer. We performed liver S4 segmental resection and cholecystectomy. Histopathological examination confirmed liver metastases of rectal cancer. On examination of the liver metastasis 5 years after surgery, chest CT showed a shadow of 10mm in size in S6 of the left lung. We performed partialresection via video-assisted thoracic surgery(VATS)in 20XX+14...
December 2017: Gan to Kagaku Ryoho. Cancer & Chemotherapy
Naoki Kamitani, Yasunori Ishii, Kazuo Mizumoto
We report a case of Trousseau syndrome associated with advanced rectalcancer. A 67-year-old man visited our hospital for right hemiparesis and gait disturbance. Head magnetic resonance imaging showed multiple cerebral infarctions. Abdominal computed tomography showed wallthickening of the rectum and colonoscopy showed type 2 circumferentialrectalcancer. Therefore, he was diagnosed with Trousseau syndrome. After anticoagulation therapy with heparin, an operation was performed. Thereafter, chemotherapy was continued and he has experienced no recurrence of cerebralinfarction...
March 2017: Gan to Kagaku Ryoho. Cancer & Chemotherapy
Nobutada Fukino, Kazutoshi Kida, Youichi Kuboi, Kenji Mimatsu, Sadao Amano
A 67-year-old man underwent abdominoperinealresection for rectalcancer (Rb, tub2>muc, A, N1, H0, P0, M0, Cy1, Stage III a). We administered mFOLFOX6 as adjuvant chemotherapy for 6 months. Twenty-seven months after surgery, his serum tumor marker level was increased, and local recurrence in the left rear of the prostate was detected by pelvic CT. The patient selected radiation(50 Gy/25 Fr), after rejecting resection for the local recurrence. After radiation, we performed chemotherapy combined with bevacizumab...
November 2016: Gan to Kagaku Ryoho. Cancer & Chemotherapy
Tatsuya Morikawa, Fuminori Teraishi, Yasuo Shima, Jun Iwata
We report the case of a patient with advanced rectal cancer who achieved a pathological complete response to preoperative chemoradiotherapy (CRT). A 65-year-old man was diagnosed as having a two-thirds circumferential well-to moderately differentiated tumor (Rb-P, type 2). To control local recurrence, we treated the patient with CRT. Radiotherapy was administered in fractions of 2 Gy/day (total, 40 Gy). Concurrently, S-1 was administered orally at a fixed daily dose of 80 mg/m2 for 20 days. Withdrawal and/or dose reduction of S-1 was not necessary in spite of Grade 1 or 2 toxic effects, including diarrhea and periproctitis, occurring on day 7...
March 2016: Gan to Kagaku Ryoho. Cancer & Chemotherapy
Yohei Kawahara, Itsuro Terada, Shiro Terai, Seiichi Yamamoto, Masahide Kaji, Kiichi Maeda, Koichi Shimizu
A man in his 70s was referred to our hospital with anorexia, weight loss, and constipation. After examination by computed tomography (CT), magnetic resonance imaging (MRI), and colonoscopy, he was diagnosed as having a locally advanced rectal cancer with abscess formation. Because CT and MRI indicated that the tumor had invaded the seminal vesicle, prostate, and sacrum, we diagnosed it as an unresectable tumor. We treated the abscesses around the tumor by sigmoid colostomy with administration of antibiotics...
November 2015: Gan to Kagaku Ryoho. Cancer & Chemotherapy
A Maier, L Boieriu
The authors report the case of a 69 year-old patient, with obesity, having a left colostomy that has been made for rectal cancer (12 years ago) and who developed a non-clostridian gascellulitis of the abdominal wall as a result of intraparietal traumatic tract perforation of the colostomy. The presence of the peristomal hernia favoured the posttraumatic injury of the colostomy. Repeated surgical inteventions and the antibiotic treatment determined a favourable evolution. Despite the wound contamination with excrement, transit stoma relocation was not necessary...
September 2014: Chirurgia
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