[A Long‒Term Survival Case of Advanced Rectal Cancer with Liver and Lung, Para‒Aortic Lymph Nodes Metastasis That Responded to Multidisciplinary Therapy].

Abstract

The patient was a 59‒year‒old woman. In 2005, she underwent low anterior resection plus D2 dissection for rectal cancer (pT4aN2aM0, pStage Ⅲb). In 2007, she underwent hepatic S8 subsegment resection for liver metastasis. After that, FOLFIRI therapy was performed as chemotherapy for recurrence of the right upper lung lobe and para‒aortic lymph node(PALN). CR was once obtained in both(of)PALN and lung, but PALN re‒expansion and left ovary enlargement were observed in 2009, and resection of PALN plus left ovariectomy was performed. Histological examination showed PALNs were metastases from rectal cancer and the ovary was benign. Eleven years after the first operation, she stayed alive without recurrence.

• Authors: Mie Tanabe, Masakatsu Numata, Atsushi Onodera, Kentaro Hara, Yosuke Atsumi, Keisuke Kazama, Toru Aoyama, Hiroshi Tamagawa, Norio Yukawa, Munetaka Masuda, Yasushi Rino
• Journal: Gan to kagaku ryoho. Cancer & chemotherapy (Gan To Kagaku Ryoho) Vol. 48 Issue 4 Pg. 566-568 (Apr 2021) ISSN: 0385-0684 [Print] Japan
• PMID: 33976050 (Publication Type: Case Reports, Journal Article)

Topics

• Female
• Humans
• Liver
• Lung
• Lymph Node Excision
• Lymph Nodes
• Lymphatic Metastasis
• Middle Aged
• Neoplasm Recurrence, Local
• Rectal Neoplasms (drug therapy, surgery)