TAILIEUCHUNG - Báo cáo khoa học: "Case of a sigmoid colon cancer with metachronous metastases to the mesorectum and the abdominal wall"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Case of a sigmoid colon cancer with metachronous metastases to the mesorectum and the abdominal wall | Kalaitzis et al. World Journal of Surgical Oncology 2010 8 17 http content 8 1 17 WORLD JOURNAL OF SURGICAL ONCOLOGY CASE REPORT Open Access Case of a sigmoid colon cancer with metachronous metastases to the mesorectum and the abdominal wall John Kalaitzis George Filippou Adamantia Zizi-Sermpetzoglou Athanasios Marinis Andreas Hadjimarcou Nikolaos Paschalidis Spyros Rizos Abstract Backround Sigmoid colon cancer metachronous metastases commonly occur in the liver and lungs with sporadic reports also to the spleen stomach thyroid gland abdominal wall and upper urinary tract. This is a rare case of metachronous metastases invading the mesorectum and the abdominal wall. Case presentation A 72-year-old female underwent sigmoidectomy for stage I T2N0 M0 sigmoid colon cancer in May 2008. In June 2009 an abdominal computed tomography scan revealed a tumor 2 cm in size at the lower anterior mesorectum and a second mass 2 cm in size at the anterior abdominal wall midline. Total colonoscopy showed no mucosal lesion. The serum carcinoembryonic antigen level was normal. A biopsy of the mesorectum tumor showed similar histologic characteristics with the primary tumor. Since no other site of recurrence was identified an abdominoperineal resection was attempted. During the operation and after the removal of the incision recurrence sinus bradycardia and signs of myocardial ischemia were noticed. A loop transverse colostomy was immediately perfomed and the operation was terminated. Postoperative cardiologic examination revealed an acute myocardium infract. Chemo-radiation of the mesorectum tumor and re-evaluation for surgical excision was decided. Conclusion Metachronous metastasis of the mesorectum from sigmoid colon cancer is extremely rare. Although patterns of lymphatic spread from rectal cancer to sigmoid colon have recently been demonstrated there is no evidence of metachronous mesorectum invasion from sigmoid colon cancer. This could be the issue for future .

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