scholarly journals Ascending Colon Cancer Associated with Dermatomyositis Which Was Cured after Colon Resection

2016 ◽  
Vol 10 (2) ◽  
pp. 338-343 ◽  
Author(s):  
Hirohiko Kamiyama ◽  
Koichiro Niwa ◽  
Shun Ishiyama ◽  
Makoto Takahashi ◽  
Yutaka Kojima ◽  
...  

A 76-year-old woman with muscle ache, weakness of the extremities, and skin rash was diagnosed with dermatomyositis (DM). Upon the diagnosis of DM, a systemic survey of malignancy revealed an advanced carcinoma of the ascending colon. The patient underwent right hemicolectomy approximately 2 months after the onset of DM. The symptoms and signs of DM disappeared after the surgery without additional therapy. DM is an idiopathic systemic inflammatory disease characterized by muscle ache, muscle weakness, and skin rash. In some cases, DM develops as paraneoplastic syndrome, and it is assumed that 30% of DM patients have cancer. Symptoms and signs of DM can be attenuated by treatment of the malignancy, and they reappear if the malignancy recurs. It is essential to perform a systemic survey of malignancy in DM patients, and treatment of the malignancy has to precede treatment of DM.

2012 ◽  
Vol 97 (1) ◽  
pp. 6-13
Author(s):  
Takanori Ochiai ◽  
Taiki Masuda ◽  
Masayuki Yagi ◽  
Reo Kasai ◽  
Takaki Furuyama ◽  
...  

Abstract At the time of diagnosis, 20% to 25% of patients with colorectal cancer already have liver metastases, the presence of which is a most important prognostic factor. A 64-year-old man was admitted to our hospital for investigation of anemia and multiple liver tumors. Examinations revealed ascending colon carcinoma with more than 40 liver metastases and 2 lung metastases. We performed right hemicolectomy with lymph node dissection, which was followed by 5-fluorouracil/leucovorin, oxaliplatin, plus bevacizumab (FOLFOX-BV). After 4 courses of chemotherapy, the lung metastases were in complete remission and the liver metastases had shrunk. We suggested the option of radical liver resection, but the patient declined initially as he had not suffered any severe side effects of FOLFOX-BV. After 23 courses of the chemotherapy, he agreed to undergo hepatectomy. We performed extended right lobectomy with partial left and caudal lobe resection. All of the macroscopic metastatic lesions were resected. Histopathologically, viable cancer cells were recognized in 7 of the 43 liver metastatic lesions. Postoperatively, FOLFOX-BV was restarted and continued for 10 months. At the time of writing, 15 months after the hepatectomy, the patient was well without evidence of recurrence of the cancer.


Surgery Today ◽  
2000 ◽  
Vol 30 (4) ◽  
pp. 372-375 ◽  
Author(s):  
Katsuyuki Kunieda ◽  
Shigetoyo Saji ◽  
Ikuhide Kuwabara ◽  
Atsushi Watanabe ◽  
Motohisa Katoh ◽  
...  

2020 ◽  
Vol 4 (1) ◽  
pp. 1
Author(s):  
Siti Noviana Sari ◽  
Debie Dahlia

<p class="AbstractContent"><strong>Objective:</strong> This paper aims to analyze perioperative nursing care given to patients with ascending colon cancer who had right hemicolectomy<strong> </strong></p><p class="AbstractContent"><strong>Methods: </strong>Interventions provided in the form of perioperative education, deep breathing relaxation exercises, effective cough exercises, and early postoperative mobilization</p><p class="AbstractContent"><strong>Results:</strong> The results of the evaluation of the implementation of nursing showed the results of patients able to do post-operative exercises in according to education that has been given, the patient was satisfied, and there was no delay post-surgical recovery.<strong></strong></p><p><strong>Conclusion: </strong>Operative education can be used to improve postoperative recovery in colon cancer patients. Some interventions can be made a protocol and applied to improve patient independence, reduce post-operative care days, and increase satisfaction for patients and families.</p><p><strong> </strong></p><p><strong>Keywords: </strong>Colon cancer; deep breathing; early mobilization; effective coughing; preoperative education</p>


Sign in / Sign up

Export Citation Format

Share Document