Long-term survival achieved by resection of metastases in the liver and lung in a patient with recurrent colonic cancer: Report of a case

A 58-year-old man who underwent a potentially curative resection of cancer of the sigmoid colon at another hospital was subsequently followed up at ou r hospital. A lateral segmentectomy was performed for a solitary hepatic me tastasis, and partial resection of right S1 was later carried out for a pul monary metastasis. Another pulmonary metastasis was found 6 years after his third operation and to minimize the area to be resected, bronchial arteria l infusion chemotherapy was performed twice. A 51% reduction in the size of the tumor was achieved, so a right upper lobectomy and wedge resection of the bronchus were performed. The patient remains alive 14 years after the i nitial resection of colonic cancer. This case is considered noteworthy beca use it demonstrates the potential effectiveness of local adjuvant chemother apy and the possibility of extended survival in a patient who has undergone resection of both hepatic and pulmonary metastases from colonic cancer.