지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.12
- 수록면
- 135 - 140 (6page)
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초록· 키워드
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Colorectal carcinoma invading the submucosa but not the muscularis propria (pT1) represents the earliest form of clinically relevant colorectal cancer in most patients. T1 colorectal cancer with synchronous liver metastasis is considered to be rare. We report a rare case of T1 colon cancer with synchronous liver metastasis not detected by preoperative imaging study. A 54-year-old male patient presented to our department for treatment of sigmoid colon cancer following an endoscopic submucosal dissection. Histopathological examination revealed the pedunculated mass was moderately differentiated adenocarcinoma without lymphovascular invasion and the depth of submucosal invasion was 2,000 μm, the resection margin was not involved. We performed a laparoscopic anterior resection with lymph node dissection. After the 3 months, the patient’s carcinoembryonic antigen level elevated from 1.4 to 7.26 ng/mL (normal level: <1.5 ng/mL) and the abdominal computed tomography and FDG-PET/CT (positron emission tomography-computed tomography) showed multiple hepatic metastases in both hepatic lobes (SUVmax: 5.6) without evidence of local recurrence or lymphadenopathy. We strongly suspected a synchronous liver metastasis not detected by imaging study as opposed to a systemic recurrence. Therefore, evaluation and follow-up protocol of T1 colorectal cancer should be changed for discovery and prediction of synchronous liver metastasis; because we cannot exclude the possibility of synchronous liver metastasis.
목차
INTRODUCTION
CASE REPORT
DISCUSSION
REFERENCES
참고문헌 (15)
참고문헌 신청
Jemal A / 2011 / Global cancer statistics / CA Cancer J Clin 61:69~90
Kobayashi H / 2007 / Characteristics of recurrence and surveillance tools after curative resection for colorectal cancer: a multicenter study / Surgery 141:67~75
Oxley EM / 1969 / Prognosis of carcinoma of the large bowel in the presence of liver metastases / Br J Surg 56:149~152
Bipat S / 2005 / Colorectal liver metastases: CT, MR imaging, and PET for diagnosis: meta-analysis / Radiology 237:123~131
Ruers T / 2002 / Treatment of liver metastases, an update on the possibilities and results / Eur J Cancer 38:1023~1033
Kobayashi H / 2007 / Characteristics of recurrence and surveillance tools after curative resection for colorectal cancer: a multicenter study / Surgery 141:67~75
Oxley EM / 1969 / Prognosis of carcinoma of the large bowel in the presence of liver metastases / Br J Surg 56:149~152
Bipat S / 2005 / Colorectal liver metastases: CT, MR imaging, and PET for diagnosis: meta-analysis / Radiology 237:123~131
Ruers T / 2002 / Treatment of liver metastases, an update on the possibilities and results / Eur J Cancer 38:1023~1033
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