Asunto(s)
Adenocarcinoma/cirugía , Neoplasias del Ciego/secundario , Siembra Neoplásica , Neoplasias del Recto/cirugía , Irrigación Terapéutica/efectos adversos , Irrigación Terapéutica/métodos , Adenocarcinoma/complicaciones , Adenocarcinoma/patología , Anciano , Drenaje , Humanos , Obstrucción Intestinal/etiología , Masculino , Neoplasias del Recto/complicaciones , Neoplasias del Recto/patologíaAsunto(s)
Neoplasias de los Conductos Biliares/patología , Conductos Biliares Intrahepáticos , Neoplasias del Ciego/secundario , Colangiocarcinoma/secundario , Hemorragia Gastrointestinal/etiología , Anciano , Neoplasias del Ciego/patología , Humanos , Inmunohistoquímica , Masculino , Persona de Mediana EdadRESUMEN
A 56-year-old man who had a history of repeated previous treatment for cystitis was admitted with abdominal distension, dysuria, pollakiuria, nocturia and sensation of urine retention after emptying the bladder. A CT scan showed a 10â cm irregularly shaped soft tissue mass abutting the anterosuperior aspect of the urinary bladder with wall thickening and a soft tissue component in the caecum. Colonoscopy revealed an encircling huge fungating mass on the caecum. The tumour was removed surgically. Histological examination showed moderately differentiated adenocarcinoma extending to the caecal wall and the bladder mucosa, the origin of the mass was consistent with that of a urachal cyst. The epicentre of the tumour was located in the bladder wall, with a distinct margin as a pathological feature. The patient was diagnosed with urachal cancer and concurrent direct caecal invasion.
Asunto(s)
Adenocarcinoma/diagnóstico , Neoplasias del Ciego/secundario , Neoplasias del Colon/diagnóstico , Neoplasias de la Vejiga Urinaria/diagnóstico , Adenocarcinoma/diagnóstico por imagen , Adenocarcinoma/patología , Neoplasias del Ciego/diagnóstico por imagen , Ciego/diagnóstico por imagen , Ciego/patología , Neoplasias del Colon/diagnóstico por imagen , Diagnóstico Diferencial , Humanos , Masculino , Persona de Mediana Edad , Invasividad Neoplásica , Tomografía Computarizada por Rayos X , Vejiga Urinaria/diagnóstico por imagen , Vejiga Urinaria/patología , Neoplasias de la Vejiga Urinaria/diagnóstico por imagen , Neoplasias de la Vejiga Urinaria/patologíaAsunto(s)
Carcinoma de Células Escamosas/secundario , Neoplasias del Ciego/complicaciones , Hemorragia Gastrointestinal/etiología , Neoplasias del Yeyuno/complicaciones , Neoplasias Orofaríngeas/patología , Neoplasias Gástricas/complicaciones , Anciano , Anemia Ferropénica/etiología , Neoplasias del Ciego/secundario , Colonoscopía , Gastroscopía , Humanos , Neoplasias del Yeyuno/patología , Neoplasias del Yeyuno/secundario , Masculino , Neoplasias Gástricas/secundarioRESUMEN
INTRODUCTION: Metastatic renal cell carcinoma (RCC) frequently spreads not only to neighboring lymph nodes, but also to distant organs, including the lungs, liver, bones and brain. CASE REPORT: We presented three cases of RCC with colon metastasis. In the first, 63-year-old patient, after left nephrectomy followed with lyphadenectomy in paraaortic lymph node, left hemicolectomy was done due to RCC metastasis in rectosigmoid colon. In the second, 35-year-old patient, left radical nephrectomy was followed two years later with partial right nephrectomy, lung metastasectomy, small bowel and coecum resection and right orchiectomy all as separate procedures in different time intervals. The patient died from brain and bone metastases two years after the first surgery. The third, 35-year-old patient, had right nephrectomy followed by repeted lymphadenectomies after 6, 12 and 24 months. Four years later RCC spreaded to coecum and right hemicolectomy was performed. CONCLUSION: RCC treated with nephrectomy should be carefully followed up with imaging methods as a proper treatment of RCC metastases to distant organs could be important for a patient survival.
Asunto(s)
Neoplasias Óseas/secundario , Neoplasias Encefálicas/secundario , Carcinoma de Células Renales/secundario , Neoplasias Colorrectales/secundario , Neoplasias Renales/patología , Neoplasias Pulmonares/secundario , Adulto , Neoplasias Óseas/cirugía , Neoplasias Encefálicas/cirugía , Carcinoma de Células Renales/cirugía , Neoplasias del Ciego/secundario , Colectomía , Neoplasias Colorrectales/cirugía , Resultado Fatal , Estudios de Seguimiento , Humanos , Neoplasias Renales/cirugía , Neoplasias Pulmonares/cirugía , Escisión del Ganglio Linfático , Masculino , Persona de Mediana Edad , Nefrectomía , Reoperación , Insuficiencia del Tratamiento , Resultado del TratamientoAsunto(s)
Abdomen Agudo/etiología , Neoplasias del Ciego/diagnóstico , Criptorquidismo/diagnóstico , Neoplasias de Células Germinales y Embrionarias/diagnóstico , Neoplasias del Colon Sigmoide/diagnóstico , Neoplasias Testiculares/diagnóstico , Adulto , Neoplasias del Ciego/complicaciones , Neoplasias del Ciego/secundario , Criptorquidismo/complicaciones , Humanos , Masculino , Neoplasias de Células Germinales y Embrionarias/complicaciones , Neoplasias de Células Germinales y Embrionarias/secundario , Neoplasias del Colon Sigmoide/complicaciones , Neoplasias del Colon Sigmoide/secundario , Neoplasias Testiculares/complicaciones , Neoplasias Testiculares/patologíaAsunto(s)
Neoplasias del Ciego/secundario , Enfermedades del Íleon/etiología , Neoplasias del Íleon/secundario , Válvula Ileocecal , Intususcepción/etiología , Melanoma/complicaciones , Melanoma/secundario , Anciano de 80 o más Años , Neoplasias del Ciego/complicaciones , Femenino , Humanos , Neoplasias del Íleon/complicaciones , Neoplasias del Recto/patologíaRESUMEN
Metastasis to the abdominal wall including port sites after laparoscopic surgery for colorectal cancer is rare. Resection of metastatic lesions may lead to greater survival benefit if the abdominal wall metastasis is the only manifestation of recurrent disease. A 57-year-old man, who underwent laparoscopic surgery for advanced mucinous adenocarcinoma of the cecum 6 years prior, developed a nodule in the surgical wound at the lower right abdomen. Although tumor markers were within normal limits, the metastasis to the abdominal wall and abdominal cavity from the previous cecal cancer was suspected. An abdominal computed tomography scan did not provide detective evidence of metastasis. (18)F-fluorodeoxyglucose positron emission/computed tomography ((18)F-FDG PET/CT) was therefore performed, which demonstrated increased (18)F-fluorodeoxyglucose uptake (maximum standardized uptake value: 3.1) in the small abdominal wall nodule alone. Histopathological examination of the resected nodule confirmed the diagnosis of metastatic mucinous adenocarcinoma. Prognosis of intestinal mucinous adenocarcinoma is reported to be poorer than that of non-mucinous adenocarcinoma. In conclusion, this case suggests an important role of (18)F-FDG PET/CT in early diagnosis and decision-making regarding therapy for recurrent disease in cases where a firm diagnosis of recurrent colorectal cancer is difficult to make.
Asunto(s)
Pared Abdominal/patología , Adenocarcinoma Mucinoso/secundario , Neoplasias del Ciego/secundario , Neoplasias Colorrectales/patología , Fluorodesoxiglucosa F18 , Tomografía de Emisión de Positrones , Tomografía Computarizada de Emisión , Pared Abdominal/cirugía , Adenocarcinoma Mucinoso/cirugía , Neoplasias del Ciego/cirugía , Neoplasias Colorrectales/cirugía , Humanos , Masculino , Persona de Mediana Edad , Pronóstico , RadiofármacosAsunto(s)
Adenocarcinoma/patología , Adenocarcinoma/secundario , Neoplasias del Ciego/secundario , Pólipos del Colon/patología , Neoplasias Gástricas/patología , Adenocarcinoma/complicaciones , Anciano , Neoplasias del Ciego/patología , Colectomía , Pólipos del Colon/complicaciones , Humanos , Laparoscopía , Masculino , Neoplasias Gástricas/complicacionesRESUMEN
A patient with phyllodes tumour of the breast is discussed. During follow-up, she presented with intestinal obstruction caused by ileocaecal intussusception. The cause of the intussusception was metastatic phyllodes tumour, which is a unique presentation.