Right Hemicolectomy for Colon Cancer and Endoscopic Microwave Coagulation Therapy for Gastric Cancer with myelodysplastic syndrome: Case Report

Osamu Totsuka, Susumu Ohwada, Tetsushi Ogawa¹⁾, Toshio Fukusato²⁾, Izumi Takeyoshi, Yoshihiro Sato and Yasuo Morishita¹⁾

Second Department of Surgery, Gumma University School of Medicine¹⁾
Department of Pathology, Gumma University Hospital²⁾

A 73-year-old man was transferred to our hospital because of right abdominal pain. Upper gastrointestinal endoscopy and colonoscopy demonstrated double cancers of an early gastric and advanced ascending colon cancer. A bone marrow biopsy performed for pancytopenia led to the diagnosis of myelodysplastic syndrome (MDS) associated with refractory anemia with excess of blasts in transformation. Right hemicolectomy was performed with partial resection of the abdominal wall, where the ascending colon cancer had invaded and formed abscess. Postoperatively, the patient was managed in a portable sterile bed and received transfusions of packed red blood cells and platelets, and antibiotics, and not granulocyte colony stimulating factor (G-CSF). His postoperative course was uneventful. After discharge, the patient underwent endoscopic microwave coagulation therapy for gastric cancer. He died of sepsis secondary to pneumonia three months after surgery.

Key words
myelodysplastic syndrome, double cancer, surgery

Reprint requests
Osamu Totsuka Second Department of Surgery, Gumma University School of Medicine 3-39-15 Showa-machi, Maebashi, 371-8511 JAPAN

Accepted
December 9, 1998

To read the PDF file you will need Abobe Reader installed on your computer.