Nedaplatin and docetaxel had been administered as a second-line chemotherapy; however, the lung metastasis worsened. Consequently, nivolumab ended up being introduced as a third-line chemotherapy. The metastases when you look at the reduced lobe of this right lung vanished with pneumonia after 6 programs of nivolumab, that was diagnosed as a peritumoral infiltration(PTI). PTI is hard to distinguish from drug-induced lung injury and should be diagnosed very carefully since it is an imaging finding that reflects the desired antitumor effect.Malignant tumor occurring within the inguinal region tend to be reasonably infrequent, and metastatic tumefaction is very unusual. We report a case of inguinal hernial sac metastasis of cecal cancer tumors resected with TAPP strategy. The outcome is a 80′s man. One year and six months after cecal cancer tumors surgery, contrast-enhanced computer system tomography(CT)examination disclosed a solitary tumefaction in the correct inguinal canal. We identified inguinal hernia sac metastasis of cecal cancer and done surgery. The mass into the hernia sac had been resected using the TAPP method. Histopathological findings had been in keeping with peritoneal metastasis straight to the inguinal hernia sac. The patient SR-0813 cost is live without a couple of years after metastasectomy. It is crucial to deal with patients with a history of cancerous illness with maintaining the chance of inguinal hernia sac metastasis in mind.An-81-year-old man introduced to another doctor moaning of epigastric discomfort. He had been labeled us after the laboratory data unveiled a higher serum CEA and abdominal ultrasonography showed the space occupying lesion when you look at the left liver. Abdominal CT revealed advanced gallbladder cancer infiltrating the liver and colon and found annular pancreas surrounding the descending portion of duodenum. We opted limited hepatectomy(S4a+S5), extrahepatic bile duct resection with hepaticojejunostomy and partial colectomy. Pathological analysis of this tumor was pT3N1M0, gallbladder cancer. The in-patient had been discharged regarding the 21 times after procedure. The regularity of malignant tumors in person annular pancreas are not revealed. But some cases present with adult annular pancreas complicating the biliary tract tumor. We experienced an instance of higher level gallbladder cancer with adult annular pancreas and report our instance and review the important literature.Conversion surgery(CS)post chemotherapy for unresectable pancreatic cancer can be reported recently. Even though it is still questionable about adaptation of CS, it could possibly be one of the of good use alternatives of treatment plan for unresectable pancreatic cancer. We report 3 cases of CS which ultimately turned out to be pathological complete response.A 69-year-old guy who had been identified as having a submucosal tumor milk microbiome in the ascending colon by colonoscopy in X-7 year ended up being presented. The endoscopic biopsy showed typical mucosa, and then he had been followed up. During follow-up, calculated tomography and colonoscopy done in X year showed an enlargement of the tumor. Positron emission tomography-computed tomography revealed intense FDG uptake. Cancerous cyst had been suspected, and laparoscopic-assisted correct hemicolectomy had been performed. The histopathological diagnosis revealed spindle-shaped cyst cells proliferating in a fascicular fashion. Immunohistochemical staining ended up being positive for S-100 protein and bad for CD34, c-kit, and desmin, and schwannoma had been diagnosed. Schwannomas are tumors produced from Schwann cells and therefore rarely develop into the gastrointestinal tract. Careful preoperative diagnosis is essential as they do not usually metastasize or undergo malignant transformation.The client is a 79-year-old girl whom visited her neighborhood doctor with a chief complaint of abdominal discomfort. A lowered intestinal endoscopy unveiled a circumferential kind 3 mass into the transverse colon. The patient ended up being diagnosed with transverse colon cancer (cT3N0M0, cStage Ⅱa)and underwent laparoscopic transverse colectomy(D3). The postoperative program ended up being great, and she ended up being released on POD 9. Pathological results showed a diagnosis of medullary carcinoma(pT3N0M0, pStage Ⅱa)with MSI-high. The patient ended up being addressed with UFT/UZEL for half a year as postoperative adjuvant chemotherapy. The in-patient has been recurrence-free for 1 year Medical kits and a few months postoperatively and it is under outpatient followup. Medullary carcinoma is a rare histologic type that is projected to account fully for 2-3% of most colorectal types of cancer. Medullary carcinoma of this colon is much more common in elderly patients, females, therefore the right-side of this colon, with a relatively positive prognosis. We report an incident of medullary carcinoma of the transverse colon where the client had a relatively long success, with some conversation associated with literature.A 61-year-old man served with dyschezia, and additional examination unveiled squamous cell carcinoma associated with the lower anus invading the kidney and seminal vesicles. The medical analysis had been squamous mobile carcinoma of this lower colon, cT4b(bladder and seminal vesicle)N0M0, cStage Ⅱc. Neoadjuvant chemoradiotherapy had been administered with outside irradiation regarding the entire pelvis(50.4 Gy/28 Fr)and chemotherapy with 5-fluorouracil, Leucovorin, and oxaliplatin(FOLFOX). When tumefaction shrinking ended up being observed a couple of months after chemoradiotherapy, laparoscopic total pelvic exenteration with TaTME method ended up being performed.