Journal of Digestive Cancer Research

Korean Society of Gastrointestinal Cancer Research (대한소화기암연구학회)
권호 표지

Transverse Colon Cancer with Duodenal Fistula

십이지장루를 동반한 횡행결장암 1예

  • Seong Kyeong Lim (Department of Internal Medicine, Kosin University College of Medicine) ;
  • Seun Ja Park (Department of Internal Medicine, Kosin University College of Medicine) ;
  • Moo In Park (Department of Internal Medicine, Kosin University College of Medicine) ;
  • Won Moon (Department of Internal Medicine, Kosin University College of Medicine) ;
  • Sung Eun Kim (Department of Internal Medicine, Kosin University College of Medicine) ;
  • Sung-Uhn Baek (Department of Surgery, Kosin University College of Medicine)
  • 임성경 (고신대학교 의과대학 내과학교실) ;
  • 박선자 (고신대학교 의과대학 내과학교실) ;
  • 박무인 (고신대학교 의과대학 내과학교실) ;
  • 문원 (고신대학교 의과대학 내과학교실) ;
  • 김성은 (고신대학교 의과대학 내과학교실) ;
  • 백승언 (고신대학교 의과대학 외과학교실)
  • Received : 2014.11.26
  • Accepted : 2014.12.02
  • Published : 2014.12.31
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Abstract

A 57-year-old male visited our hospital due to a growing abdominal mass for 1 month. The patient was diagnosed as transverse colon cancer with duodenal fistula, and then was treated with neoadjuvant concurrent chemoradiation therapy (2 cycles of FOLFOX-4, 3-dimensional conformal radiation therapy: 3,000 cGy in 10 fractions). Despite the improvement of colon cancer and associated inflammation, the symptom of colonic obstruction was aggravated. Thus transverse colon segmentectomy was done. After surgery, he have received adjuvant 12 cycles of FOLFOX-4 chemotherapy. Now, he is currently being followed up in cure state.

한 달 동안의 점점 커지는 복부의 종괴를 주소로 방문한 57세 남자 환자에서 대장-십이지장루를 동반한 대장암을 진단하였으며, 이에 대해 수술 전 동시 항암방사선 치료를 시행하여 수술 범위를 줄일 수 있었던 좋은 예였다. 국소적으로 진행된 대장암 환자에서 본 증례와 같은 합병증으로 수술의 범위가 커질 가능성이 있다면, 보존적 치료 및 수술 전 동시 항암방사선 치료를 시행하여 수술 범위를 좁히는 것이 환자의 치료 경과에 도움이 될 것으로 생각된다.

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References

  1. Soulsby R, Leung E, Williams N. Malignant colo-duodenal fistula; case report and review of literature. World J Surg Oncol 2006;4:86.
  2. Chang AE, Rhoads JE. Malignant duodenocolic fistulas: a case report and review of the literature. J Surg Oncol 1982;21:33-36.
  3. Welch JP, Warshaw AL. Malignant duodenocolic fistulas. Am J Surg 1997;133:658-661.
  4. Kim JA, et al. A case of Malignant Duodenocolic Fistula Treated with Covered Metallic Stents. Korean J Gastrointest Endosc 2010;40:116-120.
  5. Kim SW, et al. A case of Malignant Duodenocolic Fistula. Korean J Gastrointest Endosc 2009;38(1):38-42.
  6. Park JM, et al. Case of Malignant Duodeno-Colic Fistula Showing Typical Endoscopic Findings. Korean J Gastrointest Endosc 2005;31:414-418.
  7. Izumi Y, Ueki T, Naritomi G, Akashi Y, Miyoshi A, Fukuda T. Malignant duodenocolic fistula; report of a case and considerations for operative management. Surg Today 1993;23:920-925.
  8. Koo JH, Lee KS, Cho YU, et al. Malignant duodenocolic fistulas: report of 2 cases. J Korean Soc Coloproctol 2001;17:53-57.
  9. Bosset JF, et al. Chemotherapy with preoperative radiotherapy in rectal cancer. N Engl J Med 2006;355:1114-1123.
  10. Zhan T, et al. A multidisciplinary clinical treatment of locally advanced rectal cancer complicated with rectovesical fistula: a case report. Journal of Medical Case Reports 2012;6:369.