title: Abdominal wall metastasis following treatment of rectal cancer.
abstract: We present a 60-year-old man with a metastatic subcutaneous lump in the left lower quadrant of the abdomen, from rectal cancer, which was treated three years earlier with low anterior resection of the rectum. Excision of the abdominal wall metastasis was accomplished with negative histological margins, but six months later a new abdominal wall mass was detected. The patient underwent surgery again, in which the abdominal wall metastasis was resected en bloc with adherent portion of small bowel, along with inguinal lymph node dissection. The patient's condition deteriorated 10 months after the initial diagnosis, presenting again with abdominal wall cancer and dying from disseminated peritoneal disease.
authors.affiliation: 4th Surgical Department, Aristotle University, Thessaloniki, Greece.
authors.forename: H
authors.initials: H
authors.lastname: Demetriades
authors.forename: I
authors.initials: I
authors.lastname: Kanellos
authors.forename: K
authors.initials: K
authors.lastname: Vasiliadis
authors.forename: E
authors.initials: E
authors.lastname: Christoforidis
authors.forename: D
authors.initials: D
authors.lastname: Betsis
mesh_terms: D034861:Abdominal Wall / Q000473:pathology* / Q000601:surgery; D000230:Adenocarcinoma / Q000556:secondary* / Q000628:therapy; D003131:Combined Modality Therapy; D018450:Disease Progression; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D019042:Muscle Neoplasms / Q000556:secondary* / Q000601:surgery*; D009367:Neoplasm Staging; D019651:Plastic Surgery Procedures / Q000379:methods; D012004:Rectal Neoplasms / Q000473:pathology* / Q000628:therapy; D012086:Reoperation / Q000379:methods; D018570:Risk Assessment; D013524:Surgical Flaps; D016896:Treatment Outcome