A case of disseminated tumor from cecal cancer with survival for over 5 years after twice surgical resection and systemic chemotherapy

Takao Tamesa, Yusaku Watanabe, Kiyoshi Yoshimura, Naohide Mori, Shigeru Yamamoto, Shoichi Hazama, Akira Tangoku, Masaaki Oka

Research output: Contribution to journalArticle

Abstract

A 66-year-old man underwent a curative operation for cecal cancer on the 30th of November, 1998. Since his CEA level rose in January 2001, computed tomography (CT) revealed a tumor in the abdomen. He underwent a resection of this tumor and disseminated tumors that were diagnosed during the operation. He received systemic chemotherapy (5'-DFUR 600 mg 3x everyday, CPT-11 80 mg/body div every 2 weeks), but the CEA level rose again in August 2003. He was diagnosed with spleen metastasis and underwent splenectomy. The tumor disseminated in the left diaphragm was also resected. After that, he received systemic chemotherapy (5-FU 500 mg/body/week div, levofolinate calcium 250 mg/body/week i.v.) as an outpatient. Peritoneal carcinomatosis from colorectal cancer with distant metastasis, in general, has no indication for an operation. However, if dissemination is located after a sufficient observation period, its resection may be recommended.

Original languageEnglish (US)
Pages (from-to)1864-1866
Number of pages3
JournalJapanese Journal of Cancer and Chemotherapy
Volume31
Issue number11
StatePublished - Oct 2004
Externally publishedYes

ASJC Scopus subject areas

  • Cancer Research
  • Pharmacology

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