[A case of resected spinal metastasis following colectomy and hepatectomy for descending colon carcinoma]

Gan To Kagaku Ryoho. 2003 Oct;30(11):1713-6.
[Article in Japanese]

Abstract

The patient was a 49-year-old man. In 1995, he underwent left hemicolectomy for descending colon carcinoma, and in 1996, partial hepatic resection was performed for liver metastasis. Post-operative chemotherapy was performed with 5'-DFUR. Five years later, he had lumbar and femoral pain. X-ray and MRI examination revealed a compression fracture and a spinal tumor at the XII thoracic vertebra. Though chemoradiotherapy was performed, the symptoms of pain, numbness and muscle weakness progressed. A resection of the metastatic spinal tumor was performed. Following several systemic chemotherapies, such as 5-FU/l-LV, CPT-11 + 5-FU/l-LV and low-dose CPT-11/UFT, radiotherapy was performed for the progressed bone tumor. At 2 years after surgery, he is still able to walk and no other site of recurrence has been detected.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / secondary*
  • Adenocarcinoma / surgery
  • Adult
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Camptothecin / administration & dosage
  • Camptothecin / analogs & derivatives*
  • Colectomy*
  • Colonic Neoplasms / pathology*
  • Colonic Neoplasms / surgery
  • Combined Modality Therapy
  • Drug Administration Schedule
  • Fluorouracil / administration & dosage
  • Hepatectomy*
  • Humans
  • Irinotecan
  • Leucovorin / administration & dosage
  • Liver Neoplasms / secondary
  • Liver Neoplasms / surgery
  • Male
  • Spinal Neoplasms / drug therapy
  • Spinal Neoplasms / radiotherapy
  • Spinal Neoplasms / secondary*
  • Spinal Neoplasms / surgery

Substances

  • Irinotecan
  • Leucovorin
  • Fluorouracil
  • Camptothecin