좌측 신장으로 단독 전이된 에스결장암
Sigmoid Colon Cancer with Isolated Metastasis to the Left Kidney
김형진, 최호중, 강원경, 오순남, 정찬권, 오승택,
소속 상세정보
김형진 ( Kim Hyung Jin )
가톨릭대학교 의과대학 외과학교실
최호중 ( Choi Ho-Joong )
가톨릭대학교 의과대학 외과학교실
강원경 ( Kang Won-Kyung )
가톨릭대학교 의과대학 외과학교실
오순남 ( Oh Soon-Nam )
가톨릭대학교 의과대학 방사선과학교실
정찬권 ( Jung Chan-Kwon )
가톨릭대학교 의과대학 방사선과학교실
오승택 ( Oh Seung-Tack )
가톨릭대학교 의과대학 외과학교실
KMID : 0356720060220050346
Abstract
We report the case of a 63-year-old female with sigmoid colon cancer and isolated metastasis to the left kidney at the time of initial diagnosis. An anterior resection of the sigmoid colon and a left nephrectomy were performed. Three cycles of adjuvant chemotherapy consisting of oxaliplatin, 5-fluorouracil, and leucovorin were given, but two months after the surgery, multiple metastases of the liver were detected on a CT scan. The patient refused further treatment and died 5 months after the discovery of an isolated metastasis. An isolated metastasis to the kidney is very rare in clinical practice. A nephrectomy for kidney metastasis has no effect on survival and quality of life, and a nephrectomy may also compromise the choice of chemotherapy agents that require renal clearance; thus, a careful evaluation of renal function is necessary before a nephrectomy. At present, kidney metastasis should be regarded as an advanced metastatic disease, and aggressive chemotherapy, including target therapy, should prolong survival and improve the quality of life. However, when a synchronous or a metachronous renal tumor is suspected, a nephrectomy should be performed for accurate diagnosis and treatment. J Korean Soc Coloproctol 2006;22:346- 349
키워드
에스결장암;신장전이;신장적출술;동시성 암
Sigmoid colon cancer;Kidney metastasis;Nephrectomy;Synchronous cancer
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