Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
Case Reports
A Case of Resection of Thoracic and Abdominal Wall Metastases from Colon Cancer at 14 Years after the First Operation—A Case Report—
Tomohito SATOMasahiko SUZUKIYutaro ASABATakashi MIYAKEAtsuko MATSUYAMAYasunobu MIZUKAMI
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2015 Volume 76 Issue 4 Pages 803-808

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Abstract
A 52-year-old woman had undergone ileocecal resection for carcinoma of the cecum. At 9 years after the surgery, abdominal CT showed a cystic mass measuring 3 cm in diameter in segment VI of the liver. A repeat CT 14 years after the surgery showed that the mass had enlarged to 8 cm in diameter, and had invaded the thoracic and abdominal wall, diaphragm, and segment VI of the liver. Suspecting a malignant tumor from the abdominal wall, tumorectomy combined with thoracic and abdominal wall resection, hepatic resection of segment V and VI, and resection of the tenth and eleventh ribs were performed. The pathological diagnosis was mucinous carcinoma invading the surrounding organs. Thus, the tumor did not originate in the abdominal wall, but was a metastasis from the cancer of the cecum that had been resected 14 years earlier. Such a case of colon carcinoma recurring 14 years after surgery for the primary tumor is rare. Therefore, we report this case with some literature review.
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© 2015 Japan Surgical Association
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