Journal of Okayama Medical Association
Published by Okayama Medical Association

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癌化学療法が奏効し Tumor Lysis Syndrome を呈した結腸癌再発症例の一例

井口 利仁 岡山大学医学部第一外科学教室
岩垣 博巳 岡山大学医学部第一外科学教室
浜中 荘平 岡山大学医学部第一外科学教室
モレイラ ルイス・フエルナンド 岡山大学医学部第一外科学教室
難波 浩 岡山大学医学部第一外科学教室
岡林 孝弘 岡山大学医学部第一外科学教室
日伝 晶夫 岡山大学医学部第一外科学教室
折田 薫三 岡山大学医学部第一外科学教室
抄録
A case of recurrence of colon cancer with marked tumor reduction after effective chemotherapy is reported. The patient was a 27-years-old female who was admitted to the 1st department of surgery because of a giant abdominal tumor. She had undergone surgery for cecal cancer 16 months before admission. Abdominal and pelvic CT-SCAN revealed a giant tumor (21×18cm) invading the rectum and uterus. Surgical cannulation was performed into bilateral internal iliac arteries, and anti-cancer drugs (5-FU : 5000mg, ADR : 40mg, CDDP : 200mg) were administered intraarterially. The occurrence of hyperkalemia and striking rises in LDH, CEA, CA19-9 after the chemotherapy strongly suggested the tumor lysis syndrome, which to our knowledge, has not been reported as a complication of the treatment of colon carcinoma.
キーワード
Tumor Lysis Syndrome
結腸癌再発
備考
原著
ISSN
0030-1558
NCID
AN00032489