[A Case of Two-Stage Radical Resection with Neoadjuvant Chemotherapy for Cecal Cancer with Synchronous Peritoneal Metastasis(P3)]

Gan To Kagaku Ryoho. 2023 Dec;50(13):1390-1392.
[Article in Japanese]


A 63-year-old female patient was diagnosed with cecal cancer(cT3, N2a, M0)and underwent surgery for the first time. Only laparoscopic ileocecal resection(D3 dissection)was performed because intraperitoneal observation revealed peritoneal metastasis around the tumor and uterus. We decided to perform a radical resection because the peritoneal metastasis was localized by FDG-PET/CT. Five courses of neoadjuvant chemotherapy(mFOLFOX6)were performed to shrink the tumor. Unrecognized peritoneal metastases were found in other areas during the second surgery. Although the extent of the peritoneal metastasis was P3, all lesions had been resected. No perioperative complications occurred, and adjuvant chemotherapy was administered to the patient. Recurrence was not observed until 6 months postoperatively.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Cecal Neoplasms* / drug therapy
  • Cecal Neoplasms* / pathology
  • Cecal Neoplasms* / surgery
  • Female
  • Humans
  • Laparoscopy*
  • Middle Aged
  • Neoadjuvant Therapy
  • Peritoneal Neoplasms* / drug therapy
  • Peritoneal Neoplasms* / secondary
  • Peritoneal Neoplasms* / surgery
  • Positron Emission Tomography Computed Tomography