Abstract
We report our experience with a colorectal cancer case showing an abdominal wall recurrence with herniotomy using composix mesh 3 years after enforcement. The patient was a 74-year-old man. Sigmoidectomy was performed for sigmoid colon cancer in December 2006, followed by hernioplasty using composix mesh for an abdominal incisional hernia 8 months later. We performed abdominal computed tomography (CT) because of mesogastralgia in December 2010 and suspected an abdominal wall recurrence. A mass biopsy was performed for diagnostic purposes, and showed moderately differentiated adenocarcinoma. The site showed accumulation in fludeoxyglucose (18F), positron emission tomography (FDG-PET), and metastasis of sigmoid colon cancer was diagnosed. The tumor showed a reduction tendency when two courses of bevacizumab + IRIS were administered, and no new metastases were found even when PET was performed again. We resected an abdominal wall tumor in May 2011. Adenocarcinoma had spread through the body surface side of the sample from the mesh, but the stump was negative. Abdominal wall recurrence of colorectal cancer developing on a mesh is thought to be rare as there are few reported cases.
