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Rectal cancer diagnosed after resection of isolated brain metastasis

BACKGROUND: Brain metastasis of colorectal cancer is infrequent, and isolated brain metastases are more infrequent. Thus, when neurological symptoms, such as paralysis or disturbance of consciousness appear, there is a high probability that the cancer has spread to other organs. CASE PRESENTATION: H...

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Autores principales: Tagayasu, Yoshiyuki, Miyamoto, Yuji, Sawayama, Hiroshi, Ogawa, Katsuhiro, Kato, Rikako, Yoshida, Naoya, Mukasa, Akitake, Baba, Hideo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8960526/
https://www.ncbi.nlm.nih.gov/pubmed/35344111
http://dx.doi.org/10.1186/s40792-022-01407-8
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author Tagayasu, Yoshiyuki
Miyamoto, Yuji
Sawayama, Hiroshi
Ogawa, Katsuhiro
Kato, Rikako
Yoshida, Naoya
Mukasa, Akitake
Baba, Hideo
author_facet Tagayasu, Yoshiyuki
Miyamoto, Yuji
Sawayama, Hiroshi
Ogawa, Katsuhiro
Kato, Rikako
Yoshida, Naoya
Mukasa, Akitake
Baba, Hideo
author_sort Tagayasu, Yoshiyuki
collection PubMed
description BACKGROUND: Brain metastasis of colorectal cancer is infrequent, and isolated brain metastases are more infrequent. Thus, when neurological symptoms, such as paralysis or disturbance of consciousness appear, there is a high probability that the cancer has spread to other organs. CASE PRESENTATION: Here, we present a 64-year-old man with a progressive headache, decreased motivation, and aphasia who was diagnosed with a brain tumor in the left frontal region. He underwent a craniotomy, and the brain tumor was diagnosed as adenocarcinoma. We performed a colonoscopy and diagnosed rectal cancer without other distant metastases. After whole-brain radiotherapy (WBRT), low anterior resection for primary rectal tumor was performed using a robotic system. The patient was discharged in good condition and received postoperative adjuvant therapy for rectal cancer. He showed no signs of recurrence after 1 year of follow-up. CONCLUSIONS: We described a rare case of rectal cancer that was diagnosed after resection of isolated brain metastasis. A good prognosis was achieved with surgery and WBRT.
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spelling pubmed-89605262022-04-12 Rectal cancer diagnosed after resection of isolated brain metastasis Tagayasu, Yoshiyuki Miyamoto, Yuji Sawayama, Hiroshi Ogawa, Katsuhiro Kato, Rikako Yoshida, Naoya Mukasa, Akitake Baba, Hideo Surg Case Rep Case Report BACKGROUND: Brain metastasis of colorectal cancer is infrequent, and isolated brain metastases are more infrequent. Thus, when neurological symptoms, such as paralysis or disturbance of consciousness appear, there is a high probability that the cancer has spread to other organs. CASE PRESENTATION: Here, we present a 64-year-old man with a progressive headache, decreased motivation, and aphasia who was diagnosed with a brain tumor in the left frontal region. He underwent a craniotomy, and the brain tumor was diagnosed as adenocarcinoma. We performed a colonoscopy and diagnosed rectal cancer without other distant metastases. After whole-brain radiotherapy (WBRT), low anterior resection for primary rectal tumor was performed using a robotic system. The patient was discharged in good condition and received postoperative adjuvant therapy for rectal cancer. He showed no signs of recurrence after 1 year of follow-up. CONCLUSIONS: We described a rare case of rectal cancer that was diagnosed after resection of isolated brain metastasis. A good prognosis was achieved with surgery and WBRT. Springer Berlin Heidelberg 2022-03-28 /pmc/articles/PMC8960526/ /pubmed/35344111 http://dx.doi.org/10.1186/s40792-022-01407-8 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Case Report
Tagayasu, Yoshiyuki
Miyamoto, Yuji
Sawayama, Hiroshi
Ogawa, Katsuhiro
Kato, Rikako
Yoshida, Naoya
Mukasa, Akitake
Baba, Hideo
Rectal cancer diagnosed after resection of isolated brain metastasis
title Rectal cancer diagnosed after resection of isolated brain metastasis
title_full Rectal cancer diagnosed after resection of isolated brain metastasis
title_fullStr Rectal cancer diagnosed after resection of isolated brain metastasis
title_full_unstemmed Rectal cancer diagnosed after resection of isolated brain metastasis
title_short Rectal cancer diagnosed after resection of isolated brain metastasis
title_sort rectal cancer diagnosed after resection of isolated brain metastasis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8960526/
https://www.ncbi.nlm.nih.gov/pubmed/35344111
http://dx.doi.org/10.1186/s40792-022-01407-8
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