Survival of Peritoneal Recurrence of Colon Cancer by Second-look Operation based on Carcinoembryonic Antigen Evaluation

Haruhiko Naito, Tatuya Orimo, Nozomi Minagawa, Tomonori Hamada, Hirofumi Adachi, Hiroshi Shiroto, Kondo Keishi and Masami Ogita

Department of Surgery, Sapporo National Hospital/Hokkaido Cancer Center

A 63 year-old woman operated on for cecal cancer associated with regional lymph node metastasis and peritoneal dissemination along the sigmoid colon had elevated CEA 1 year and 3 months later. Computed tomography (CT), magnetic resonance imaging (MRI) and fiberscopic examination showed no abnormal findings, so exploratory laparotomy was conducted 2 years and 3 months later after informed consent was obtained. The five metastatic nodules found and were extirpated from the surgical site, abdominal wall, intestinal anastomosis, and the pouch of Douglas. Splenic metastasis found in CT 4 years and 3 months after the primary operation were resected associated with group V cells in the irrigated fluid. She has taken 5' DFUR 800 mg/day orally for 6 years since the last operation and remains healthy without disease recurrence 13 years and 6 months after the primary operation.

Key words
colon cancer, peritoneal recurrence, second-look operation

Reprint requests
Haruhiko Naito Department of Surgery, Sapporo National Hospital Hokkaido Cancer Center 4-2 Kikusui, Shiraishi-ku, Sapporo, 003-0804 JAPAN

Accepted
February 26, 2003

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