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- W2321845602 abstract "大腸の術後フォローアップは再発の確率が低くなる５年程度とする施設が多い．しかし５年を越える遠隔期に再発をきたす症例も稀ながら存在する． 今回われわれは，遠隔期に大動脈周囲リンパ節再発をきたした横行結腸癌症例に対しFOLFIRI療法を行い良好な結果を得たので報告する． 症例は53歳，女性．2001年９月便潜血陽性を指摘され，術前検査で横行結腸癌と診断された．遠隔転移はなかった．2002年５月横行結腸切除術D3施行．病理検査ではtub2，３型，ss，n1，ly0，v2であった．術後補助化学療法は行わず経過観察していた．術後６年を越えた2008年11月のCTで大動脈周囲リンパ節腫大を認めCEA:9.8と上昇．PET検査でも同部に高集積を認めた．他臓器に集積はなく横行結腸癌リンパ節再発と診断した．2008年12月よりFOLFIRI療法開始．４回終了時のCTでリンパ節の縮小を認めCEAも2.0と正常化した．８回終了時のCTでPRとなり30回を越えた現在も継続中である．" @default.
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- W2321845602 date "2010-01-01" @default.
- W2321845602 modified "2023-09-26" @default.
- W2321845602 title "A Case of Metacronous Paraaortic Lymph Node Metastasis Six Years After Transverse Colon Cancer Resection" @default.
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