2006 年 31 巻 6 号 p. 950-955
A 52-year-old man, who had right-sided colon cancer that had invaded the duodenum, pancreas, and liver, had a curative resection that included a right hemicolectomy, a pancreatoduodenectomy (PD), and a right hemihepatectomy. The pathological findings confirmed a well differentiated adenocarcinoma, which directly invaded the pancreas, liver, and duodenum. Eighty-five months after the operation, the patient is still alive and disease-free. A 73-year-old man, who had right-sided colon cancer that had invaded the duodenum, gall bladder, and liver, underwent a curative resection that included a right hemicolectomy, PD, and a partial hepatectomy. The pathological findings confirmed a moderately differentiated adenocarcinoma, which directly invaded the gall bladder, bile duct, liver, and duodenum. Six months after the operation, the patient is still alive and disease-free. Invasion of the duodenum, pancreas, and liver by a right-sided colon carcinoma does not mean that the patient has incurable disease. In fact, this condition can be resected with en bloc PD, colectomy, and hepatectomy, which offers the patient a chance for survival.
