Abstract
The patient was a 63-year-old man who had undergone an anterior resection for sigmoid colon cancer in October 2001. He had been diagnosed as pStage IIIa (tub1, ly1, v0, SS, N1, H0, P0, M0) and had had adjuvant chemotherapy. He was diagnosed as having multiple lung metastases in June 2004, and chemotherapy was given. However, the lesions continued to gradually progress. Thus, a VATS right pulmonary wedge resection was performed in December 2004. A VATS left pulmonary wedge resection was performed in December 2004. In Fevruary 2008, a chest CT scan revealed a recurrence of a right lung apex metastasis and a right anterior chest wall metastasis. Radiation therapy for the right chest wall metastasis was given in March 2008, and then chemotherapy was given. The right pulmonary metastasis disappeared, and the residual chest wall tumor was resected. On pathology, a colon cancer metastasis was diagnosed. Subsequently, the right pulmonary metastasis recurred and was resected. Since then, no recurrences have been observed. Few cases of colon cancer metastasis to the chest wall have been reported. Radical resection can result in disease-free survival in certain cases.
