[
Abstract]
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Full Text PDF] （in Japanese / 923KB）
[Members Only And Two Factor Auth.] J.Jpn. Surg. Soc.. 91(7): 844-850, 1990
Original article
A CLINICAL STUDY ON 76 CASES IN CARCINOMA OF THE COLON AND RECTUM WITH METASTASIS TO THE PERI-AORTIC LYMPH NODES.
WITH PARTICULAR REFERENCE TO THE SKIP METASTASIS IN CARCINOMA OF THE SIGMOID COLON TO THE PERI-AORTIC LYMPHNODES.
The therapeutic result by tumorous site were evaluated in 76 cases of carcinoma of the colon and rectum with the confined presence of metastasis to the peri-aortic lymph nodes. The results revealed that significant good out-comes were noted in the relatively non-curative cases of carcinoma of the sigmoid colon, with particularly good prognosis being found in six cases with skip metastasis. There was a 26.1％（6/23）incidence of the skip metastasis in carcionma of the singmoid colon with the peri-aortic lymph nodes metastasis. We confirmed two lymphatic routes of the skip metastasis; one route was from the lymph nodes near the tumor to the para-aortic lymph nodes directly, and the other was ftom the lymph nodes near the tumor to the lymph nodes at the aortic difurcation directly and finally to the para-aortic lymph nodes. In the all six cases, the peri-aortic lymph nodes metastasis occurred only in inferior site of the inferior mesenteric artery. The average number of the peri-aortic lymph nodes metastasis were as few as 1.7 in these cases. The prognosis was favorable with three of the six cases scoring a three-year survival and included a five-year survival case.
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