Journal of Digestive Cancer Research

  • 제2권2호
  • /
  • Pages.68-71
  • /
  • 2014
  • /
  • 2950-9394(pISSN)
  • /
  • 2950-9505(eISSN)
대한소화기암연구학회 (Korean Society of Gastrointestinal Cancer Research)
권호 표지

십이지장루를 동반한 횡행결장암 1예

Transverse Colon Cancer with Duodenal Fistula

  • 임성경 (고신대학교 의과대학 내과학교실) ;
  • 박선자 (고신대학교 의과대학 내과학교실) ;
  • 박무인 (고신대학교 의과대학 내과학교실) ;
  • 문원 (고신대학교 의과대학 내과학교실) ;
  • 김성은 (고신대학교 의과대학 내과학교실) ;
  • 백승언 (고신대학교 의과대학 외과학교실)
  • Seong Kyeong Lim (Department of Internal Medicine, Kosin University College of Medicine) ;
  • Seun Ja Park (Department of Internal Medicine, Kosin University College of Medicine) ;
  • Moo In Park (Department of Internal Medicine, Kosin University College of Medicine) ;
  • Won Moon (Department of Internal Medicine, Kosin University College of Medicine) ;
  • Sung Eun Kim (Department of Internal Medicine, Kosin University College of Medicine) ;
  • Sung-Uhn Baek (Department of Surgery, Kosin University College of Medicine)
  • 투고 : 2014.11.26
  • 심사 : 2014.12.02
  • 발행 : 2014.12.31
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초록

한 달 동안의 점점 커지는 복부의 종괴를 주소로 방문한 57세 남자 환자에서 대장-십이지장루를 동반한 대장암을 진단하였으며, 이에 대해 수술 전 동시 항암방사선 치료를 시행하여 수술 범위를 줄일 수 있었던 좋은 예였다. 국소적으로 진행된 대장암 환자에서 본 증례와 같은 합병증으로 수술의 범위가 커질 가능성이 있다면, 보존적 치료 및 수술 전 동시 항암방사선 치료를 시행하여 수술 범위를 좁히는 것이 환자의 치료 경과에 도움이 될 것으로 생각된다.

A 57-year-old male visited our hospital due to a growing abdominal mass for 1 month. The patient was diagnosed as transverse colon cancer with duodenal fistula, and then was treated with neoadjuvant concurrent chemoradiation therapy (2 cycles of FOLFOX-4, 3-dimensional conformal radiation therapy: 3,000 cGy in 10 fractions). Despite the improvement of colon cancer and associated inflammation, the symptom of colonic obstruction was aggravated. Thus transverse colon segmentectomy was done. After surgery, he have received adjuvant 12 cycles of FOLFOX-4 chemotherapy. Now, he is currently being followed up in cure state.

키워드

참고문헌

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