Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
Case Reports
CK20+ Poorly Differentiated Adenocarcinoma of the Transverse Colon with Extramural Progression—A Case Report—
Shinji TAKAHASHITomoyuki GOYANoriaki KAMEDA
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2018 Volume 79 Issue 2 Pages 356-359

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Abstract
A 77 year old female patient presented to us with a history of abdominal pain and a palpable abdominal mass. Further examination revealed transverse colon cancer with extramural progression and multiple liver metastases. Accordingly, transverse colectomy was performed. Histopathological examination of the resected specimen revealed poorly differentiated adenocarcinoma with CK7-/CK20+. Despite treatment with three courses of mFOLFOX6 and bevacizumab following the colectomy, the patient died of progression of the liver metastases and the development of peritonitis carcinomatosa. This case report gives details about the very rarely encountered poorly differentiated adenocarcinoma of the transverse colon with extramural progression.
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© 2018 Japan Surgical Association
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