[A Case of Resection of T2N0 Colon Cancer with Synchronous Solitary Lung Metastasis].

Autor: Shirai Y; Dept. of Surgery, Ikegami General Hospital., Oshima Y, Ito S, Suzuki M, Fukasawa M, Ishikawa K, Machimura T, Nohara M, Murayama A, Sanada K, Kamochi J, Ikoma Y, Kato Y, Sakata S
Jazyk: japonština
Zdroj: Gan to kagaku ryoho. Cancer & chemotherapy [Gan To Kagaku Ryoho] 2024 Jan; Vol. 51 (1), pp. 63-65.
Abstrakt: 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.
Databáze: MEDLINE