| Case of peritoneal dissemination of colon cancer in which PET/CT was useful in determining the indicated surgical procedure. | |
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MedLine Citation:
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PMID: 20099433 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Michio Itabashi; Yusuke Tada; Yoshiko Bamba; Kaori Takemoto; Yuka Yoshimura; Masato Kimura; Tomoichiro Hirosawa; Shinpei Ogawa; Shingo Kameoka |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: International surgery Volume: 94 ISSN: 0020-8868 ISO Abbreviation: Int Surg Publication Date: 2009 Jan-Feb |
Date Detail:
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Created Date: 2010-01-26 Completed Date: 2010-03-04 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0043524 Medline TA: Int Surg Country: Italy |
Other Details:
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Languages: eng Pagination: 80-3 Citation Subset: IM |
Affiliation:
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Department of Surgery II, Tokyo Women's Medical University, School of Medicine, 8-1 Kawadacho Sinjuku-ku, Tokyo 162-8666, Japan. itabashi@surg2.twmu.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Colonic Neoplasms / pathology*, radiography, radionuclide imaging, surgery* Constriction, Pathologic / radiography, radionuclide imaging, surgery Female Humans Peritoneal Neoplasms / radiography, radionuclide imaging, secondary*, surgery* Tomography, Emission-Computed* Tomography, X-Ray Computed* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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