A Five Years Survived Case of Colon Cancer with Peritoneal Dissemination Treated by Continuous Hyperthermic Peritoneal Perfusion

Hisashi Matsumoto, Genichi Nishimura, Yukei Suzaki, Hidehiro Tajima, Takashi Fujimura, Kazuo Sugiyama, Koichi Shimizu, Yutaka Yonemura, Koichi Miwa, Itsuo Miyazaki, Akio Yamaguchi*

The Second Department of Surgery, School of Medicine, Kanazawa University
*The First Department of Surgery, Fukui Medical School

We report five year survival in a case of colon cancer with peritoneal dissemination treated by continuous hyperthermic peritoneal perfusion (CHPP). A 74-year-old woman underwent right hemicolectomy and CHPP for ascending colon cancer with tubercular type dissemination, CHPP was repeated after confirmation of the disappearance of dissemination by second look operation. About 3 years after the first operation, obstruction of the small intestine and the recurrence of tubercular dissemination on the peritoneum and mesenterium were observed when the patient underwent laparotomy because of nausea and vomiting. After the part with obstruction was resected completely and dissemination was eliminated as far as possible, CHPP was done for the third time. Although the intestinal obstruction could be observed as type 2 in the gross specimen, the histologic appearance showed that the disseminated nest involved the intestinal lumen. This case suggests that CHPP is a useful therapeutic surgical strategy for colon cancer with peritoneal dissemination.

Key words
peritoneal dissemination of colon cancer, continuous hyperthermic peritoneal perfusion

Reprint requests
Hisashi Matsumoto Department of Surgery, Kanazawa National Hospital
3-1-1 Ishibaki, Kanazawa, 920 JAPAN

Accepted
December 7, 1994

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