Internal hemipelvectomy in the treatment of recurrent carcinoma of the colon: report of a case.
OBJECTIVE
Although extended surgery has been established as an effective method for the treatment of advanced carcinoma of the colon, there are no reports in the literature of en bloc resection of the tumor together with the iliac bone. We report herein a 46-year-old woman with a second local recurrence after right colectomy, with the main objective of showing the possibility of indicating this type of surgery in selected cases.


METHODS
In view of the lack of therapeutic options for the case and the absence of metastases, extended curative surgery for recurrent carcinoma of the colon was performed, with en bloc resection of the right iliac bone and of the crural nerve (Type I internal hemipelvectomy).


RESULTS
After a 27-month follow-up, the patient is asymptomatic, with no signs of local recurrence or metastases.


CONCLUSIONS
In selected cases, recurrent carcinoma of the colon can be treated by extended and aggressive surgery, including bone resection, to obtain an appropriate safety margins.
Lopes
A
A
Department of Pelvic Surgery, A. C. Camargo Hospital, Antonio Prudente Foundation, São Paulo, Brazil.
Rossi
B M
BM
de Oliveira Ferreira
F
F
D000230:Adenocarcinoma / Q000175:diagnosis / Q000601:surgery*; D001706:Biopsy; D003110:Colonic Neoplasms / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006428:Hemipelvectomy; D006801:Humans; D007085:Ilium / Q000601:surgery; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D014057:Tomography, X-Ray Computed