Progress of Digestive Endoscopy
Online ISSN : 2187-4999
Print ISSN : 1348-9844
ISSN-L : 1348-9844
症例
原発性大腸びまん浸潤型神経内分泌癌に対する集学的治療の1例
阿部 道子渡辺 一宏渡邉 俊介西畠 瑞希武田 剛志高原 楠昊後藤 絵理子瀬戸 元子小池 幸宏川瀬 建夫岡 輝明
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2013 年 83 巻 1 号 p. 148-149

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A 68-year-old woman was admitted to our hospital with severe back pain. Laboratory data revealed high serum levels of LDH, CRP, and NSE (101 ng/ml) . The diagnosis of PDNEC was confirmed with a biopsy specimen from the lesion. Conventional cisplatin plus irinotecan chemotherapy was administered. Furthermore, radiation therapy was performed at the primary site and bone metastases, and radiofrequency ablation (RFA) was administered to hepatic metastases for down staging. Nevertheless, chemotherapy could only be continued for two courses because of the patient’s depression, and overall survival was ten months. This is a report describing a case of advanced PDNEC in which multidisciplinary treatment was performed.
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© 2013 一般社団法人 日本消化器内視鏡学会 関東支部
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