動注療法により切除可能となった腎細胞癌・肝転移

INTRAARTERIAL THERAPY WITH SMANCS/LPD AND SUBSEQUENT PARTIAL HEPATECTOMY IN PATIENT WITH POSTOPERATION OF RENAL CELL CARCINOMA

　61歳，男性．腎細胞癌術後の経過規察中，CTにより肝転移の出現を認め入院．CT，超音波検査，血管造影などにて孤立性肝転移を確認．スマンクスリピオドールの肝動脈への塞栓療法を2回施行後，新たな転移巣の出現がないため，肝臓の部分切除術を施行．病理学的には，腫瘍の完全壊死を認め，手術後経過は良好で，術後6ヵ月経った現在，新たな病巣の出現を認めていない．

A 61 years old male, during the postoperative observation of renal cell carcinoma was hospitalized because the presence of hepatic metastasis was shown with CT. The solitary hepatic metastasis was confirmed with ultrasonography and angiography. After the intraarterial administration of SMANCS/LPD to hepatic artery was perfomed two times. the new metastatic focus was not observed and the partial hepatectomy was perfomed. Pathological finding showed the complete tumor necrosis. The postoperative course was uneventful and no evidence of disease is shown at present, at 2 months after the operation.