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Case Report
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| Rectosigmoid cancer recurrence surgically treated for bilateral pulmonary thromboembolism and liver metastases: A case report | ||||||
| Hiroshi Maekawa1, Hajime Orita2, Mutsumi Sakurada2, Tomoyuki Kushida2, Tomoaki Ito2, Koichi Sato2 | ||||||
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1Assistant Professor, Department of Surgery, Juntendo University School of Medicine, Shizuoka Hospital, Izu-No-Kuni City, Shizuoka, Japan.
2Associate Professor, Department of Surgery, Juntendo University School of Medicine, Shizuoka Hospital, Izu-No-Kuni City, Shizuoka, Japan. | ||||||
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| How to cite this article |
| Maekawa H, Orita H, Sakurada M, Kushida T, Ito T, Sato K. Rectosigmoid cancer recurrence surgically treated for bilateral pulmonary thromboembolism and liver metastases: A case report. Int J Case Rep Images 2015;6(8):502–506. |
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Abstract
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Introduction:
The survival time of recurrent cases of colorectal cancer has been prolonged by effective chemotherapy. However, side effects sometimes occur, which can be life-threatening condition.
Case Report: A 66-year-old female was admitted to our hospital complaining of dyspnea on effort and abdominal distension. Twenty-three months before admission, she had undergone anterior resection for rectosigmoid cancer. After anterior resection, adjuvant chemotherapy was performed. However, hepatic and pulmonary metastases were detected three months after starting adjuvant chemotherapy. She had been treated with chemotherapy for 22 months because of metastases before admission. Four months before admission, she had experienced dyspnea on effort caused of bilateral pulmonary embolism and the symptom had continued. Computed tomography scan showed two metastatic tumors in the liver, with diameters of 6.5 cm in S8 and 4.5 cm in S3, as well as bilateral pulmonary arterial embolism. From general condition, it was considered that surgical treatment could be tolerated. Bilateral pulmonary arterial endarterectomy and hepatic metastasectomy were performed, because the bilateral pulmonary thromboembolism and hepatic metastases were considered to be life-threatening. The postoperative course was uneventful and she was discharged from hospital on the 15th postoperative day. Conclusion: Synchronous endarterectomy and metastasectomy contributed to improve the patient's QOL. If this side effect is considered to be potentially fatal, the removal of the embolism is the treatment of choice. | |
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Keywords:
Colorectal cancer, Recurrence, Chemotherapy, Pulmonary arterial thromboembolism
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Author Contributions
Hiroshi Maekawa – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Hajime Orita – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Mutsumi Sakurada – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Tomoyuki Kushida – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Tomoaki Ito – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Koichi Sato – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2015 Hiroshi Maekawa et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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