積極的に治療し得た高齢者肝・大腸重複癌の1例

Abstract

A 76-year-old man with a history of gastrectomy, subarachnoid hemorrhage and alcoholic liver dysfunction was admitted to our hospital because of hepatic space occupied lesion in February, 1997. Laboratory findings showed that HBs antigen and anti-HCV antibody were negative. Ultrasonography and computed tomography showed a tumor of 9 cm in diameter at the anterior segment of the liver. Liver biopsy revealed moderately differentiated hepatocellular carcinoma without cirrhosis. We performed TAE twice, in April and September, 1997. TAE was successful. However, mild anemia appeared in February, 1998. A Borrmann type 3-like cecal cancer was detected by barium enema and total colonoscopy. Pathological findings revealed well differentiated adenocarcinoma. Ileocecal resection was performed in July, 1998. There were no signs of recurrence as of 22 months after operation. Here we report the details of this case and discuss the relevant literature.