晚期乙状结肠癌伴肝肺转移多学科协作诊疗模式下获长期生存病例报告
Long-Term Survival Case Report of Advanced Sigmoid Carcinoma of Colon with Liver and Lung Metastases under Multidisciplinary Collaborative Diagnosis and Treatment Mode
DOI: 10.12677/acm.2025.15102874, PDF,    科研立项经费支持
作者: 欧阳明莲, 李佳聪, 刘骐源, 曾祥福, 赵书锋*：赣南医科大学第一附属医院胃肠外科，江西 赣州；刘欣欣：赣南医科大学第一临床医学院，江西 赣州；叶建明*：赣南医科大学第一附属医院肿瘤科，江西 赣州
关键词: 结直肠癌；肝转移；肺转移；多学科团队；转化治疗；长期生存；Colorectal Cancer； Liver Metastasis； Lung Metastasis； Multidisciplinary Team； Conversion Therapy； Long-Term Survival
摘要: 本文报告1例初诊为IV期乙状结肠癌伴同时性肝、肺转移的患者，通过多学科团队(MDT)协作模式制定个体化诊疗策略，包括精准的转化治疗、序贯性局部根治性手术及转移灶消融/切除、系统治疗方案的动态调整与维持治疗，最终获得超过9年的长期无复发生存。本案例充分体现了MDT模式在晚期结直肠癌综合治疗中的核心价值，为类似患者提供了可借鉴的诊疗思路。
Abstract: This article reports a case of a patient initially diagnosed with stage IV sigmoid carcinoma of colon accompanied by synchronous liver and lung metastases. Through the multidisciplinary team MDT collaborative model, an individualized diagnosis and treatment strategy was formulated, including precise conversion therapy, sequential local radical surgery, ablation/resection of metastatic lesions, dynamic adjustment of systemic treatment regimens, and maintenance therapy. Ultimately, the patient achieved long-term recurrence-free survival exceeding 9 years. This case fully demonstrates the core value of the MDT model in the comprehensive treatment of advanced colorectal cancer, providing a reference for the diagnosis and treatment of similar patients.
文章引用：欧阳明莲, 李佳聪, 刘骐源, 刘欣欣, 曾祥福, 叶建明, 赵书锋. 晚期乙状结肠癌伴肝肺转移多学科协作诊疗模式下获长期生存病例报告[J]. 临床医学进展, 2025, 15(10): 1209-1214. https://doi.org/10.12677/acm.2025.15102874

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