A Case Report of Simultaneous Resection for Double Cancer of the Liver and the Rectum

Yutaka Ozeki, Mikio Yasumura, Masatoshi Hayashi, Toshio Saiga, Nagaki Matsubara

Department of Surgery, National Tosei Hospital

A 64-year-old man was admitted to our hospital because of a liver tumor. Preoperative ultrasonography and computed tomography revealed a round tumor in the right lobe of the liver. Angiography showed a hypervascular tumor. Since fecal occult blood was present and the serum carcinoembryonic antigen level was high, the colon was examined. Barium enema and total colonoscopy revealed a Borrmann type 2 rectal cancer. Under a diagnosis of double cancer of the liver and the rectum, an operation was performed. Right hepatectomy was carried out through an upper abdominal incision, and anterior resection of the rectum using the double stapling technique was performed through a lower abdominal transverse incision. The resected liver contained a round tumor, 7.0×5.5 cm in size with expansive growth, which was histologically found to be an Edmondson grade III hepatocellular carcinoma. The rectal tumor was a type 2 cancer, 4.0×3.5 cm in size, which was histologically a moderately differentiated adenocarcinoma.

Key words
double cancer of hepatocellular carcinoma and rectal cancer, simultaneous resection of liver and rectum

Reprint requests
Yutaka Ozeki Department of Surgery, National Tosei Hospital
762-1 Nagasawa, Shimizu-cho, Sunto-gun, Shizuoka, 411 JAPAN

Accepted
July 6, 1992

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