A Case of Sigmoid Colon Cancer Detected in Process of Virchow Lymph Node Metastasis

VernacularTitle:Virchowリンパ節転移で発見されたS状結腸癌の1例
Author: Momotaro MUTO ; Mizue SHIMODA ; Chisato ISHIKAWA ; Mitsutaka INOUE ; Hiroyuki TAKAHASHI ; Masahiro HAGIWARA ; Takanori AOKI ; Michinori HASHIMOTO ; Satoshi INABA ; Hidehiko YABUKI
Publication Type:Journal Article
From:Journal of the Japanese Association of Rural Medicine 2013;62(2):140-145
CountryJapan
Language:Japanese
Abstract: This report takes up a 65-year-old woman. Suspecting a tumorous superior fovea in the left clavicle, she consulted with our hospital’s Department of Otolaryngology. As a result of the lymph node biopsy performed at the department, she was diagnosed as having moderately differentiated tubular carcinoma. CT scanning revealed a number of swollen lymph nodes and parietal tylosis in the sigmoid colon. Endoscopy produced no abnormalities in the upper digestive tract, but an endoscopic check of the lower digestive tract revealed an all-around Type II tumor. The ailment was pathohistologically identified as tubular carcinoma. That said, the patient was diagnosed as suffering from sigmoid colon accompanying Virchow lymph node metastasis. Then, sigmoidostomy and the dissection of the D3 lymph node were performed. Pathohistological diagnosis revealed moderately differentiated tubular carcinoma, SE, N3, HO, PO, M1 (Virchow lymph node metastasis), Stage IV. Chemotherapy was postoperatively initiated with mFOLFOX6.