[A Case of SM Carcinoma of the Sigmoid Colon with Distant Metastasis in the Early Stage after Endoscopic MucosalResection].
Gan To Kagaku Ryoho
; 48(13): 1631-1633, 2021 Dec.
Article
em Ja
| MEDLINE
| ID: mdl-35046279
ABSTRACT
INTRODUCTION:
We report a case of submucosal(SM)adenocarcinoma of the sigmoid colon which developed distant metastasis 3 months after endoscopic mucosal resection(EMR). CASE 54-year-old, male. Colonoscopy, which was performed due to positive fecal occult blood test, revealed 18 mm Isp sigmoid polyp. EMR was performed with en bloc resection. Pathological examination revealed adenocarcinoma(tub>por>sig), pT1b, Ly1c, V1a, pHM0, and pVM1. Therefore, laparoscopic sigmoidectomy(D2 dissection)was performed. Postoperative pathological examination revealed pT1b, pN2b(10/11), PN1b, pPM0, pDM0, pStage â ¢b. Distant nodal involvement were found on computed tomography 3 months after EMR, although systemic chemotherapy(mFOLFOX6 plus panitumumab 18 courses and FOLFIRI plus bevacizumab 4 courses)was performed, the patient died of liver failure caused by liver metastasis 21 months after EMR.CONCLUSION:
We present a case of T1 sigmoid adenocarcinoma which developed distant metastasis 3 months after EMR with literature review.
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Base de dados:
MEDLINE
Assunto principal:
Neoplasias do Colo Sigmoide
/
Adenocarcinoma
/
Neoplasias do Colo
/
Ressecção Endoscópica de Mucosa
Idioma:
Ja
Ano de publicação:
2021
Tipo de documento:
Article