Complex pattern of colon cancer recurrence including a kidney metastasis: a case report.
We report a case of a 77-year-old female with a local recurrence of cancer after right hemicolectomy which infiltrated the pancreatic head affording pancreatoduodenectomy, who developed 3 years later recurrent tumor masses localized in the mesentery of the jejunum and in the lower pole of the left kidney. Partial nephrectomy and a segment resection of the small bowel were performed. Histological examination of both specimens revealed a necrotic metastasis of the primary carcinoma of the colon. Although intraluminal implantation of colon cancer cells in the renal pelvic mucosa from ureteric metastasis has been described, metastasis of a colorectal cancer in the kidney parenchyma is extremely rare and can be treated in an organ preserving manner. A complex pattern of colon cancer recurrence with unusual and rare sites of metastasis is reported.
Waleczek
Helfried
H
Department of Surgery, Evangelic Hospital, Bredenscheider Strasse 54, D-45525 Hattingen. Germany.
Wente
Moritz-N
MN
Kozianka
Jürgen
J
D000230:Adenocarcinoma / Q000556:secondary; D000368:Aged; D003110:Colonic Neoplasms; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000556:secondary*; D012008:Recurrence; D013997:Time Factors