Abstract
A 63 year-old woman operated on for cecal cancer associated with regional lymph node metastasis and peritoneal dissemination along the sigmoid colon had elevated CEA 1 year and 3 months later. Computed tomography (CT), magnetic resonance imaging (MRI) and fiberscopic examination showed no abnormal findings, so exploratory laparotomy was conducted 2 years and 3 months later after informed consent was obtained. The five metastatic nodules found and were extirpated from the surgical site, abdominal wall, intestinal anastomosis, and the pouch of Douglas. Splenic metastasis found in CT 4 years and 3 months after the primary operation were resected associated with group V cells in the irrigated fluid. She has taken 5'DFUR 800 mg/day orally for 6 years since the last operation and remains healthy without disease recurrence 13 years and 6 months after the primary operation.
