RESUMO
An 80-year-old female patient was undergone sigmoidectomy with D2 lymph node dissection for type 2 sigmoid colon cancer in February 2007. A post operative pathological finding of cancer was SS, N0, P0, H0, M0 (Stage II), curative A. Twelve months after the operation, elevated CEA level was observed. CT scan and MRI revealed a mass of 10 cm in diameter with multiple cysts in the pelvic cavity, which was diagnosed a malignant ovarian tumor. In May 2008, total hysterectomy, bilateral oophorectomy, and partial omentectomy were performed and its pathological finding was metastatic ovarian tumor originating from colon cancer. Adjuvant chemotherapy was administered, as cancer cells were detected in the ascites. The patient has been in good health without recurrence for 25 months after the second operation.
Assuntos
Adenocarcinoma/patologia , Tumor de Krukenberg/secundário , Tumor de Krukenberg/terapia , Neoplasias Ovarianas/secundário , Neoplasias Ovarianas/terapia , Neoplasias do Colo Sigmoide/patologia , Idoso de 80 Anos ou mais , Antimetabólitos Antineoplásicos/administração & dosagem , Protocolos de Quimioterapia Combinada Antineoplásica/administração & dosagem , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Terapia Combinada , Combinação de Medicamentos , Feminino , Humanos , Histerectomia , Ovariectomia , Ácido Oxônico/administração & dosagem , Tegafur/administração & dosagem , Uracila/administração & dosagemRESUMO
In March 2005, a 70-year-old male patient underwent distal gastrectomy with D2 lymph node dissection for type 3 gastric cancer located in the lower-third of the stomach, and partial gastrectomy for submucosal tumor located in the upper- third of the stomach. A post operative pathological finding of cancer was T2N0P0H0M0 (f-Stage II) and that of submucosal tumor was gastrointestinal stromal tumor. Although the adjuvant chemotherapy of S-1 was administered, it was discontinued because of cerebral infarction. Forty months after the operation, CT scan revealed a left inguinal lymph node swelling and recurrence of gastric cancer was doubted. FDG-PET scan confirmed increased uptake only in one lymph node of left inguinal region. In September 2008, left inguinal lymph node dissection was performed and its pathological finding was follicular lymphoma (grade 1). At present, the patient was doing well and showed no signs of recurrence. However, it is important to follow-up the patient carefully because the relapse rate of follicular lymphoma is comparatively high.
