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Successful Resection of Isolated Para-Aortic Lymph Node Recurrence from Advanced Sigmoid Colon Cancer following 156 Courses of FOLFIRI Regimen
Joint Authors
Takeshima, Kaoru
Yamafuji, Kazuo
Asami, Atsunori
Baba, Hideo
Okamoto, Nobuhiko
Takahashi, Hidena
Takagi, Chisato
Kubochi, Kiyoshi
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-08-25
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Isolated para-aortic lymph node (PLN) recurrence from colorectal cancer (CRC) is rare, with no currently validated treatments.
Few reports have described the successful resection of isolated PLN involvement from CRC following chemotherapy.
We report the case of a 63-year-old man who underwent sigmoidectomy for sigmoid colon cancer at our hospital.
Pathological examination demonstrated advanced sigmoid colon cancer with metastatic involvement in both of the tested PLNs.
Palliative chemotherapy was initiated four weeks after surgical resection, with administration of the FOLFIRI regimen.
Four years after the operation, computed tomography (CT) revealed an enlarged PLN below the left renal vein.
As PLN enlarged to 15 mm in the minor axis on a CT scan in 2014 after receiving a total of 156 courses of the FOLFIRI regimen, we considered the enlarged PLN to represent an isolated metastasis.
Accordingly, lymph node resection was performed with microscopically negative margins.
The patient maintained a good quality of life without any side effects throughout the whole course of his treatment and remains disease-free at 24 months without chemotherapy after resection of the isolated PLN.
Curative resection following chemotherapy may improve survival of carefully selected advanced CRC patients with locoregional recurrence, such as isolated PLN involvement.
American Psychological Association (APA)
Takeshima, Kaoru& Yamafuji, Kazuo& Asami, Atsunori& Baba, Hideo& Okamoto, Nobuhiko& Takahashi, Hidena…[et al.]. 2016. Successful Resection of Isolated Para-Aortic Lymph Node Recurrence from Advanced Sigmoid Colon Cancer following 156 Courses of FOLFIRI Regimen. Case Reports in Surgery،Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1102758
Modern Language Association (MLA)
Takeshima, Kaoru…[et al.]. Successful Resection of Isolated Para-Aortic Lymph Node Recurrence from Advanced Sigmoid Colon Cancer following 156 Courses of FOLFIRI Regimen. Case Reports in Surgery No. 2016 (2016), pp.1-5.
https://search.emarefa.net/detail/BIM-1102758
American Medical Association (AMA)
Takeshima, Kaoru& Yamafuji, Kazuo& Asami, Atsunori& Baba, Hideo& Okamoto, Nobuhiko& Takahashi, Hidena…[et al.]. Successful Resection of Isolated Para-Aortic Lymph Node Recurrence from Advanced Sigmoid Colon Cancer following 156 Courses of FOLFIRI Regimen. Case Reports in Surgery. 2016. Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1102758
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1102758