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A long-term survival case of advanced sigmoid colon cancer with massive metastases to the para-aortic lymph nodes

Ogino, T.; Ohue, M.; Noura, S.; Seki, Y.; Goto, K.; Motoori, M.; Kishi, K.; Eguchi, H.; Yamada, T.; Miyashiro, I.; Tomita, H.; Ohigashi, H.; Yano, M.; Ishikawa, O.; Imaoka, S.

Gan to Kagaku Ryoho. Cancer and ChemoTherapy 34(12): 2056-2058

2007

ISSN/ISBN: 0385-0684
PMID: 18219897
Document Number: 612372
We report a long-term survival case of advanced sigmoid colon cancer with massive metastases to the para-aortic lymph nodes. The patient was a 63-year-old male. He underwent sigmoidectomy with D3 + para-aortic lymphadenectomy for advanced sigmoid colon cancer. Histological examination showed a moderately differentiated adenocarcinoma, ss, ly2, v2, n4 (total 30/64, para-aortic lymph nodes 18/39). From 6 months to 4 years after the operation, tegafur/uracil (UFT) was performed as chemotherapy. After 8-year disease-free interval, CT showed solitary mediastinal lymph node metastases. He underwent thoracoscopic mediastinal lymphadenectomy. Histological examination revealed metastases from colon cancer.

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