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Metastatic colon cancer derived from a diverticulum incidentally found at herniorrhaphy: a case report
BACKGROUND: There are few reports of metastases from colon cancer to an inguinal hernia sac, and few reports of colon cancer originating in diverticula. We report a patient with carcinoma of the sigmoid colon arising in two diverticula, who presented with peritoneal seeding to an inguinal hernia sac...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5953913/ https://www.ncbi.nlm.nih.gov/pubmed/29766314 http://dx.doi.org/10.1186/s40792-018-0455-y |
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author | Kimura, Jiro Lefor, Alan Kawarai Fukai, Shota Yoshikawa, Kentaro Sasamatsu, Shingo Sakamoto, Takashi Mizokami, Ken Kanzaki, Masaki Kubota, Tadao Saito, Akira Izumi, Hiroshi Honjo, Kunpei Nagakari, Kunihiko Fukunaga, Masaki |
author_facet | Kimura, Jiro Lefor, Alan Kawarai Fukai, Shota Yoshikawa, Kentaro Sasamatsu, Shingo Sakamoto, Takashi Mizokami, Ken Kanzaki, Masaki Kubota, Tadao Saito, Akira Izumi, Hiroshi Honjo, Kunpei Nagakari, Kunihiko Fukunaga, Masaki |
author_sort | Kimura, Jiro |
collection | PubMed |
description | BACKGROUND: There are few reports of metastases from colon cancer to an inguinal hernia sac, and few reports of colon cancer originating in diverticula. We report a patient with carcinoma of the sigmoid colon arising in two diverticula, who presented with peritoneal seeding to an inguinal hernia sac, and a review of the literature. CASE PRESENTATION: A 55-year-old male underwent open herniorrhaphy for a left inguinal hernia. At operation, a nodule in the inguinal hernia sac was resected and histologic examination revealed adenocarcinoma, which was suspected to be a metastasis from a distant primary lesion. Postoperative evaluation included colonoscopy and positron emission tomography which showed two suspected lesions in sigmoid diverticula. Laparoscopic subtotal colectomy was performed, and pathology revealed adenocarcinoma in two sigmoid diverticula. CONCLUSIONS: If a nodule is found in an inguinal hernia sac, especially in older patients, peritoneal metastases should be considered. Resection of the nodule with histopathologic evaluation is essential. Colon cancer arising in a diverticulum should be considered as a possible site of the primary lesion. |
format | Online Article Text |
id | pubmed-5953913 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-59539132018-05-18 Metastatic colon cancer derived from a diverticulum incidentally found at herniorrhaphy: a case report Kimura, Jiro Lefor, Alan Kawarai Fukai, Shota Yoshikawa, Kentaro Sasamatsu, Shingo Sakamoto, Takashi Mizokami, Ken Kanzaki, Masaki Kubota, Tadao Saito, Akira Izumi, Hiroshi Honjo, Kunpei Nagakari, Kunihiko Fukunaga, Masaki Surg Case Rep Case Report BACKGROUND: There are few reports of metastases from colon cancer to an inguinal hernia sac, and few reports of colon cancer originating in diverticula. We report a patient with carcinoma of the sigmoid colon arising in two diverticula, who presented with peritoneal seeding to an inguinal hernia sac, and a review of the literature. CASE PRESENTATION: A 55-year-old male underwent open herniorrhaphy for a left inguinal hernia. At operation, a nodule in the inguinal hernia sac was resected and histologic examination revealed adenocarcinoma, which was suspected to be a metastasis from a distant primary lesion. Postoperative evaluation included colonoscopy and positron emission tomography which showed two suspected lesions in sigmoid diverticula. Laparoscopic subtotal colectomy was performed, and pathology revealed adenocarcinoma in two sigmoid diverticula. CONCLUSIONS: If a nodule is found in an inguinal hernia sac, especially in older patients, peritoneal metastases should be considered. Resection of the nodule with histopathologic evaluation is essential. Colon cancer arising in a diverticulum should be considered as a possible site of the primary lesion. Springer Berlin Heidelberg 2018-05-15 /pmc/articles/PMC5953913/ /pubmed/29766314 http://dx.doi.org/10.1186/s40792-018-0455-y Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Case Report Kimura, Jiro Lefor, Alan Kawarai Fukai, Shota Yoshikawa, Kentaro Sasamatsu, Shingo Sakamoto, Takashi Mizokami, Ken Kanzaki, Masaki Kubota, Tadao Saito, Akira Izumi, Hiroshi Honjo, Kunpei Nagakari, Kunihiko Fukunaga, Masaki Metastatic colon cancer derived from a diverticulum incidentally found at herniorrhaphy: a case report |
title | Metastatic colon cancer derived from a diverticulum incidentally found at herniorrhaphy: a case report |
title_full | Metastatic colon cancer derived from a diverticulum incidentally found at herniorrhaphy: a case report |
title_fullStr | Metastatic colon cancer derived from a diverticulum incidentally found at herniorrhaphy: a case report |
title_full_unstemmed | Metastatic colon cancer derived from a diverticulum incidentally found at herniorrhaphy: a case report |
title_short | Metastatic colon cancer derived from a diverticulum incidentally found at herniorrhaphy: a case report |
title_sort | metastatic colon cancer derived from a diverticulum incidentally found at herniorrhaphy: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5953913/ https://www.ncbi.nlm.nih.gov/pubmed/29766314 http://dx.doi.org/10.1186/s40792-018-0455-y |
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