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- W2331934536 abstract "予後不良とされるAFP産生大腸癌に対し放射線治療を加えた集学的治療により長期生存を得た1例を経験した.症例は54歳,女性,全身倦怠感を主訴に来院,精査にて直腸癌と診断,手術を施行した.術前血清AFP値が20,100ng/mlと高値を示したが術後は正常化した.病理組織検査にてAFP産生直腸癌と診断した.術後約1年目よりAFP値の上昇と相関し,リンパ節,肺,脳,肝にそれぞれ転移を認めたが手術,化学療法,特に放射線療法に反応し再発後も3年2カ月の長期コントロールが可能であった. AFP産生直腸癌の報告は稀であるが,化学療法に抵抗性で予後不良とされる.本症例においては再発巣に対する放射線治療がいずれも奏効しており, AFP産生直腸癌に対する治療の選択肢の一つとして放射線治療が有効である可能性を示唆する症例と考えられた." @default.
- W2331934536 created "2016-06-24" @default.
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- W2331934536 date "2002-01-01" @default.
- W2331934536 modified "2023-10-04" @default.
- W2331934536 title "A Patient with .ALPHA.-fetoprotein Producing Rectal Cancer Survived for a Long Time with Intensive Therapies." @default.
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- W2331934536 doi "https://doi.org/10.3919/jjsa.63.147" @default.
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