[A Case of Locally Advanced Giant Sigmoid Colon Cancer Successfully Treated with Neoadjuvant Chemotherapy]

Gan To Kagaku Ryoho. 2023 Dec;50(13):1471-1473.
[Article in Japanese]

Abstract

A 51-year-old woman presented to our hospital complaining of a lower abdominal mass and dysuria. She was diagnosed with advanced sigmoid colon cancer. The tumor was large, involving the bladder, and occupying the pelvic cavity. She received neoadjuvant chemotherapy with 4 courses of mFOLFOX6, in addition to panitumumab. The treatment resulted in a marked reduction of the tumor. A laparoscopic sigmoid colon resection, total cystectomy, neobladder reconstruction, complete uterine and bilateral adnexa resection and partial ileal resection were performed. The histopathological diagnosis was ypT4b(bladder), ypN0, ypStage Ⅱc, all with negative surgical margins. Adjuvant chemotherapy was not administered owing to the patient's refusal. She remained recurrence-free for 3 years of postoperative follow up.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Colon, Sigmoid / pathology
  • Female
  • Humans
  • Middle Aged
  • Neoadjuvant Therapy
  • Panitumumab / therapeutic use
  • Sigmoid Neoplasms* / drug therapy
  • Sigmoid Neoplasms* / pathology
  • Sigmoid Neoplasms* / surgery

Substances

  • Panitumumab