イタバシ　ミチオ   Itabashi Michio   板橋　道朗    所属   医学部 医学科    職種   特任教授
論文種別	症例報告
言語種別	英語
査読の有無	査読あり
表題	Case of peritoneal dissemination of colon cancer in which PET/CT was useful in determining the indicated surgical procedure.
掲載誌名	正式名：International surgery 略　 称：Int Surg ISSNコード：(0020-8868)0020-8868(Linking)
巻・号・頁	94(1),pp.80-3
著者・共著者	Itabashi Michio, Tada Yusuke, Bamba Yoshiko, Takemoto Kaori, Yoshimura Yuka, Kimura Masato, Hirosawa Tomoichiro, Ogawa Shinpei, Kameoka Shingo
発行年月	2009
概要	The right half of the colon was resected in a 70-year-old woman in August 2002 for ascending colon cancer. The peritoneum was also resected because of metastasis (Stage IV). Since tumor markers gradually increased, positron emission tomography (PET)/ computed tomography (CT) revealed peritoneal dissemination. Abdominal pain appeared 40 months after surgery. Barium enema findings revealed an ileal constriction approximately 25 cm from the anastomosed site toward the anus. Repeat PET/CT revealed peritoneal dissemination coinciding with ileal constriction. CT did not reveal well-defined tumor shadows. The patient was diagnosed with constriction associated with peritoneal metastasis and underwent surgery. Surgical findings revealed a roughly 2-cm peritoneal metastatic focus and ileal constriction. The site was resected and anastomosed. Postoperative progress was favorable; the patient was discharged and enjoys a favorable quality of life through outpatient adjuvant chemotherapy. PET/CT is suggested to be useful in observing the progress of peritoneal dissemination and may be of assistance in determining the course of treatment.
PMID	20099433