We described two resected cases of pulmonary
metastasis from postoperative
colorectal cancer after preoperative FOLFOX
chemotherapy. Pathologic histology inspection of the
tumor was judged to be effective prior to resection. The first case is a 68-year-old male who underwent a sigmoidectomy as a stage III A
sigmoid colon cancer in March 2003. Afterwards, distant
metastases had occurred to the liver, the left lung and neck lymph nodes from 2003 to 2006. Three operations and systemic
chemotherapy were performed. A new
metastasis of the right lung occurred in November 2006. The FOLFOX
chemotherapy was performed 7 times, the
tumor was not changed in the image, and the effect judgment was SD. After the
chemotherapy, a partial resection of the right lung was performed in November 2007. Half of the
tumor resulted in
necrosis on the specimen (Grade 1b). The second case is a 63-year-old female who underwent an anterior resection of the rectum as a stage II
rectal cancer in January 2000, a partial resection of the right lung as a metachronous right pulmonary
metastasis in March 2003, and post operative
chemotherapy (IFL) were performed. A new
metastasis of the right lung occurred in September 2005. The FOLFOX
chemotherapy was performed 4 times, the
tumor was not changed in the image, and the effect judgment was SD. After the
chemotherapy, a partial resection of the right lung was performed in April 2006. One third of the
tumor resulted in
necrosis on the specimen (Grade 1a).
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