英文版病例匯報(bào)

1、Case report,Case Report,Harbin Medical University cancer hospital,A case consultation : Liver metastasis after resection of rectal cancer,HeiLongJiang tumor hospital.China,Harbin Medical University cancer hospital,Name

2、:Xing XXGender:maleAge:63 years oldECOG:0,Personal profile,Harbin Medical University cancer hospital,Chief complaint,Resection of rectal cancer before 6 years ,with liver metastasis for 1 month.,Harbin Medical Univers

3、ity cancer hospital,Present history,Extended radical resection for rectal cancer (Miles ) was performed before 6 years in this hospital. The tumor was located under the peritoneal fold ,with a size of 6*5*7cm, invading

4、wall of intestine.,,Harbin Medical University cancer hospital,Present history,The pathologic diagnosis Rectal: moderately differentiated adenocarcinoma and mucinous adenocarcinoma with disc protrude type

5、 Invading wall of intestine A negative upper margin of resection Number of positive lymph nodes 0/22,Harbin Medical University cancer hospital,Present history,Clinical diagnosis based on the pathologic s

6、tage Rectal adenocarcinoma after resection pT4aN0M0 ⅡB,Harbin Medical University cancer hospital,Present history,Adjuvant Chemotherapy after surgery FOLFOX *8 Cycle

7、s Oxaliplatin 200mg d1 ivgtt; Leucovorin 300mg d1-5 ivgtt; 5-Fu 1g d1-5 ivgtt; Repeated every 2weeks,Harbin Medical University cancer hospital,Present

8、 history,Follow up2009.08-2014.05 CEA and CA199 monitoring and routine CT scanning were conducted every 3 month within 2 years and 6 months within 5 years after the surgery. Colonoscopy was performed every year.,Harb

9、in Medical University cancer hospital,Present history,Recurrence2015-05-23 Upper Abdominal Enhancement CT : Liver Metastasis .,Harbin Medical University cancer hospital,肝轉(zhuǎn)移病灶,Harbin Medical University cancer hospital,A

10、metastases with a maximum diameter of 14 cm diameter) was observed in the left lobe of the liver,,,,,,,,,,2015.05.23Plain CT,,Portal Phase,,,,Hepatic arterial phase,,Present history,RecurrenceTumor markers：

11、 CEA 113.2ng/ml(0-5) CA199 135.3U/ml(0-37) NSE 23.77ng/ml(0-15.2) AFP 4.24ng/ml(0-7),Harbin Medical University cancer hospital,Present history,Recurrence2015-06-01 Left live

12、r lesion biopsy: Poorly differentiated carcinoma, consistent with metastatic carcinoma.,Harbin Medical University cancer hospital,Present history,Recurrence 2015-06-01 Colonoscopy and Chest CT was Tumor Free.

13、,Harbin Medical University cancer hospital,Chest CT,,,Chest CT,2015.05.28 Pelvic CT,2015.05.28 Pelvic CT,,,Present diagnosis,Rectal cancer after resection pT4aN0M0 ⅡB Liver metastasis,Harbin Medical Universi

14、ty cancer hospital,RAS Gene Test,2015-6-11 KRAS/NRAS WT,Harbin Medical University cancer hospital,臨床診斷： 直腸癌術(shù)后pT4N0M0 ⅡB期 肝轉(zhuǎn)移,,,,,Present history,Chemotherapy after RecurrenceXELOX *1 Cycles

15、 Oxaliplatin 200mg d1 ivgtt; Capecitabine 1500mg am 2000mg pm d1-14 po; Repeated every 3 weeks,Harbin Medical University

16、cancer hospital,Present history,Tumor marker after Chemotherapy,Harbin Medical University cancer hospital,CEA：0-5ng/mlCA199:0-37U/ml,,,Following treatment,Resection?Chemotherapy ？Portal vein embolization therapy？Che