■症例報告
肝切除を含めた集学的治療により長期予後を得られた子宮体部癌肉腫の1例
上田 純志1, 牧野 浩司1, 横山 正1, 平方 敦史1, 関 奈紀1, 吉田 寛2
1日本医科大学多摩永山病院外科
2日本医科大学消化器外科学
A Successful Case of Long Time Management of a Uterine Carcinosarcoma with Liver Metastases
Junji Ueda1, Hiroshi Makino1, Tadashi Yokoyama1, Atsushi Hirakata1, Natsuki Seki1 and Hiroshi Yoshida2
1)Department of Surgery, Nippon Medical School Tama Nagayama Hospital
2)Department of Gastrointestinal and Hepatobiliray Pancreatic Surgery, Nippon Medical School
Carcinosarcoma of the uterine body is a rare mixed tumor composed of both carcinoma and sarcoma. The 5-year survival rate for this cancer is 33-39%. We present a case study of a woman treated with multidisciplinary therapy who survived carcinosarcoma of the uterine body with liver metastasis for over ten years. After she was diagnosed with carcinosarcoma of the uterine body at the age of 61 years, a hysterectomy was performed. Seven years later, she was diagnosed with cecal carcinoma, and ileocecal resection and tumorectomy were performed. Pathological findings revealed recurrence of the carcinosarcoma with cecal adenocarcinoma. After an additional 6 months, multiple liver metastases were also detected on abdominal enhanced computed tomography. We performed a partial hepatectomy. The patient survived for over ten years from the first operation. Therefore, a relatively long survival time can be expected for carcinosarcoma of the uterine body when treated with multidisciplinary therapy including surgery.
日医大医会誌 2019; 15(1), 32-37
Key words
carcinosarcoma of the uterine body, metastatic liver tumor, hepatectomy
Correspondence to
Junji Ueda, Department of Surgery, Nippon Medical School Tama Nagayama Hospital, 1-7-1 Nagayama, Tama, Tokyo 206-8512, Japan
E-mail：junji0821@nms.ac.jp
受付：2018年8月27日 受理：2018年11月19日 |
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