A Case Report of Four Resectable Metachronous Multiple Carcinomas of the Large Intestine with Resectable Liver Metastasis

Yasumasa Takii, Haruhiko Okamoto, Takeyasu Suda, Yasuo Sakai, Katsuyoshi Hatakeyama, Terukazu Muto

The First Department of Surgery, Niigata University School of Medicine

We report a case of four resectable metachronous multiple carcinomas of the large intestine with resectable liver metastasis within seven years. A 7l-year-old man noticed bloody stools as the chief complaint in December 1982 and was diagnosed as having a localized ulcerating type of sigmoid colon cancer by barium enema and colonofiberscopy (CF). A sigmoidectomy was performed in February 1983. The CEA level was elevated and liver metastasis and transverse colon cancer were revealed by computed tomography and CF 21 months after surgery. Partial resections of the transverse colon and medial lobe of the liver and cholecystectomy were performed in February 1984. An ileocecal resection was performed for a IIa+IIc type of cecal cancer which was detected by CF in April 1987. A partial resection of the transverse colon was performed for a IIa+IIc type of transverse colon cancer which was detected by CF in November 1989. With the exception of the first operation, we detected the cancer by using CF postoperatively. The follow-up by CF was very useful for detection of metachronous multiple carcinomas of the large intestine.

Key words
metachronous multiple carcinomas of the large intestine, liver metastasis from the colon cancer

Reprint requests
Yasumasa Takii The First Department of Surgery, Niigata University School of Medicine
1-757 Asahimachi-dori, Niigata-shi, 951 JAPAN

Accepted
September 9, 1992

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