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Atypical presentation of sigmoid carcinoma
Colorectal carcinoma is common worldwide and its metastasis represents the main cause of mortality related to the disease. Inguinal metastization of this tumor has been considered almost impossible, owing to colon anatomy and its cranial lymphatic drainage. We report the case of a 63-year-old man su...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5457965/ https://www.ncbi.nlm.nih.gov/pubmed/28596823 http://dx.doi.org/10.1093/jscr/rjx102 |
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author | Malta, Wilson Pereira, Sílvia Gaspar, Joana Silva, Ana C. Costa, Moreira |
author_facet | Malta, Wilson Pereira, Sílvia Gaspar, Joana Silva, Ana C. Costa, Moreira |
author_sort | Malta, Wilson |
collection | PubMed |
description | Colorectal carcinoma is common worldwide and its metastasis represents the main cause of mortality related to the disease. Inguinal metastization of this tumor has been considered almost impossible, owing to colon anatomy and its cranial lymphatic drainage. We report the case of a 63-year-old man submitted to laparoscopical sigmoid colectomy, due a sigmoid adenocarcinoma. During follow-up, a right inguinal lymphadenopathy with 25 mm was detected. Fine needle aspiration biopsy revealed that it was a colon adenocarcinoma metastasis, and thus the patient underwent an inguinal lymphadenectomy. The histological study confirmed metastatic adenocarcinoma of the colon and the patient was submitted to 5-fluouracil and oxaliplatin chemotherapy. This case coursed with metastasis to the right inguinal region; although, the pathophysiological mechanism involved is difficult to understand. There are no solid data for the management of these patients. Inguinal lymphadenectomy and chemotherapy, proved to be effective. |
format | Online Article Text |
id | pubmed-5457965 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-54579652017-06-08 Atypical presentation of sigmoid carcinoma Malta, Wilson Pereira, Sílvia Gaspar, Joana Silva, Ana C. Costa, Moreira J Surg Case Rep Case Report Colorectal carcinoma is common worldwide and its metastasis represents the main cause of mortality related to the disease. Inguinal metastization of this tumor has been considered almost impossible, owing to colon anatomy and its cranial lymphatic drainage. We report the case of a 63-year-old man submitted to laparoscopical sigmoid colectomy, due a sigmoid adenocarcinoma. During follow-up, a right inguinal lymphadenopathy with 25 mm was detected. Fine needle aspiration biopsy revealed that it was a colon adenocarcinoma metastasis, and thus the patient underwent an inguinal lymphadenectomy. The histological study confirmed metastatic adenocarcinoma of the colon and the patient was submitted to 5-fluouracil and oxaliplatin chemotherapy. This case coursed with metastasis to the right inguinal region; although, the pathophysiological mechanism involved is difficult to understand. There are no solid data for the management of these patients. Inguinal lymphadenectomy and chemotherapy, proved to be effective. Oxford University Press 2017-06-05 /pmc/articles/PMC5457965/ /pubmed/28596823 http://dx.doi.org/10.1093/jscr/rjx102 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2017. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Report Malta, Wilson Pereira, Sílvia Gaspar, Joana Silva, Ana C. Costa, Moreira Atypical presentation of sigmoid carcinoma |
title | Atypical presentation of sigmoid carcinoma |
title_full | Atypical presentation of sigmoid carcinoma |
title_fullStr | Atypical presentation of sigmoid carcinoma |
title_full_unstemmed | Atypical presentation of sigmoid carcinoma |
title_short | Atypical presentation of sigmoid carcinoma |
title_sort | atypical presentation of sigmoid carcinoma |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5457965/ https://www.ncbi.nlm.nih.gov/pubmed/28596823 http://dx.doi.org/10.1093/jscr/rjx102 |
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