A CASE OF SIGNET RING CELL CARCINOMA OF THE LARGE INTESTINE RECURRED SIX YEARS AFTER OPERATION

Abstract

This paper deals with a case of signet ring cell carcinoma of the large intestine recurred 6 years after operation in a 53-year-old man. The patient had been undergone a right hemicolectomy for signet ring cell carcinoma of the ascending colon, which had been detected by close examination for ileus symptoms in March 1992. Thereafter the patient had been asymptomatic for about 6 years after postoperative chemotherapy with CDDP and UFT, until jaundice occurred in October 1998. With close examinations, a signet ring cell carcinoma in the vicinity of the hepatoduodenal ligament was demonstrated that was diagnosed as local recurrence of the signet ring cell carcinoma of the ascending colon. We judged that any radical operations were impossible, and employed a relief of obstructive jaundice by internal fistulization and chemotherapy, with a good quality of life for the patient.