Abstract
A 63-year-old woman was presented at our hospital with a diagnosis of cecal cancer and multiple liver metastases. She complained of irregular vaginal bleeding, and a vaginal tumor was observed during an internal examination. She underwent right hemicolectomy with partial vaginal resection and one month later right lobectomy with S2 partial resection of the liver. The vaginal tumor was diagnosed as a poorly differentiated adenocarcinoma which was confirmed histologically as a metastasis from the cecal cancer. More than one year after the initial surgery, the liver metastasis and lung metastases were resected on those occasions. She has been free of recurrence for more than 10 years after the latest resection. Vaginal metastasis from carcinoma of the colon is extremely rare and a standard treatment has not yet been established. Reviewing the literature reported in Japan, a fair prognosis might be expected following the complete resection of the primary colonic tumor and vaginal metastasis only when there was no other unresectable lesion.
