ID | 60445 |
フルテキストURL | |
著者 |
Nishiwaki, Noriyuki
Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Kojima, Hideaki
Division of Thoracic Surgery, Shizuoka Cancer Center
Isaka, Mitsuhiro
Division of Thoracic Surgery, Shizuoka Cancer Center
Bando, Etsuro
Division of Gastric Surgery, Shizuoka Cancer Center
Terashima, Masanori
Division of Gastric Surgery, Shizuoka Cancer Center
Ohde, Yasuhisa
Division of Thoracic Surgery, Shizuoka Cancer Center
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抄録 | Introduction
As pulmonary resection for metastatic gastric cancer has been rarely reported on, the role of metastasectomy remains unclear in such settings. We reviewed the clinicopathological characteristics and surgical outcomes of patients with metachronous pulmonary metastasis from gastric cancer (MPMGC) diagnosed using multi-detector computed tomography (MDCT) who underwent pulmonary resection.
Presentation of case
From September 2002 to May 2018, five patients underwent pulmonary resection for MPMGC at Shizuoka Cancer Center. All patients received curative resection for initial gastric cancer. Three patients received adjuvant chemotherapy. The median age at pulmonary resection was 70 years. The median disease-free interval between initial gastrectomy and MPMGC diagnosis was 41 months. The first site of recurrence was the lung in all patients. All patients were diagnosed as having primary lung cancer using MDCT before pulmonary resection and fit the surgical indication for primary lung cancer. Lobectomy was performed in three patients, while wedge resection was performed in two. The median overall survival following pulmonary resection was 79 (range, 18–89) months. Two patients experienced recurrence. While one showed recurrence in the mediastinal lymph node, in the other it was observed in the remnant lung; the latter underwent repeated pulmonary resection followed by systemic chemotherapy. Four patients survived for longer than 4 years after pulmonary resection.
Conclusions
Of the five patients with MPMGC diagnosed using MDCT who underwent pulmonary resection, long-term survival was achieved after pulmonary resection in four. Thus, pulmonary resection may be considered for those diagnosed with lung nodules after surgery for gastric cancer, and who fit the surgical indication for primary lung cancer.
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キーワード | Gastric cancer
Pulmonary metastasis
Pulmonary resection
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発行日 | 2020-07-24
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出版物タイトル |
International Journal of Surgery Case Reports
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巻 | 73巻
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出版者 | Elsevier
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開始ページ | 342
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終了ページ | 346
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ISSN | 2210-2612
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資料タイプ |
学術雑誌論文
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言語 |
英語
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OAI-PMH Set |
岡山大学
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論文のバージョン | publisher
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PubMed ID | |
DOI | |
Web of Science KeyUT | |
関連URL | isVersionOf https://doi.org/10.1016/j.ijscr.2020.07.062
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ライセンス | http://creativecommons.org/licenses/by-nc-nd/4.0/
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オープンアクセス(出版社) |
OA
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オープンアーカイブ(出版社) |
非OpenArchive
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