Lateral lymph node recurrence of rectal cancer with a pathological complete response to chemotherapy confirmed by laparoscopic lateral lymph node dissection : A case report

Autor:	Kazuya Annen, Akinobu Taketomi, Shigenori Homma, Kazuki Wakizaka, Lee Wee Khor, Nobuki Ichikawa, Hiroki Matsui, Tsuyoshi Fukushima, Tadashi Yoshida
Jazyk:	angličtina
Rok vydání:	2022
Předmět:	medicine.medical_specialty Chemotherapy Bevacizumab Colorectal cancer business.industry medicine.medical_treatment General Medicine medicine.disease laparoscopic Surgery Oxaliplatin Metastasis Capecitabine lateral lymph node dissection Dissection medicine Lymph business rectal cancer medicine.drug
Zdroj:	Asian journal of endoscopic surgery. 15(1):216-219
ISSN:	1758-5902
Popis:	Lateral lymph node (LLN) metastasis is one of the forms of local recurrence after surgery for lower rectal cancer. We here present a case of LLN recurrence of rectal cancer that was shown by laparoscopic lateral lymph node dissection (LLND) to have a complete pathological response to chemotherapy. A 58-year-old man underwent open low anterior resection for lower rectal cancer. After detection of right LLN recurrence 43 months after the operation, 11 cycles of capecitabine, oxaliplatin, and bevacizumab chemotherapy were administered. Laparoscopic right LLND was performed 55 months after the first operation. Pathological examination revealed no viable tumor cells in the dissected lymph nodes. The patient remains alive without recurrence 61 months after the first surgery and 6 months after laparoscopic LLND. Laparoscopic LLND for LLN recurrence of rectal cancer is feasible and should be considered a valid treatment option.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d53db561f336913e395c9b7559002340 http://hdl.handle.net/2115/87638 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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