[Protective silicone prosthesis prior to radiotherapy of recurrent colonic cancer].
Radiation therapy for abdominal recurrence of colon cancer is rarely an option due to subsequent bowel injury. Our case is a woman who underwent resection for a large retroperitoneal recurrence of caecal cancer. Tumour deposits encasing the iliac vessels had to be left behind. A silicone breast prosthesis for displacement of the abdominal content was implanted, allowing postoperative irradiation with 50 Gy. The prosthesis was removed once radiotherapy was accomplished; tumour regression was then complete. Complications are described, so are indications for surgical management of local recurrences of colonic origin as well as technical aspects of abdominal implantation of displacing prostheses. At follow-up after eighteen months the patient has no signs of enteropathy, she enjoys a good quality of life, and she is free of disease. Still, her prognosis is considered uncertain.
Fagområdet operativ behandling, Rikshospitalet-Radiumhospitalet, 0310 Oslo. toto.holmebakk@akersykehus.no
Toto
T
Hølmebakk
Johan N
JN
Wiig
Eva Hoff
EH
Wanderås
Thorstein B
TB
Harbitz
D000008:Abdominal Neoplasms / Q000000981:diagnostic imaging / Q000532:radiotherapy*; D034861:Abdominal Wall / Q000098:blood supply / Q000528:radiation effects; D002430:Cecal Neoplasms / Q000000981:diagnostic imaging / Q000532:radiotherapy* / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000000981:diagnostic imaging / Q000532:radiotherapy* / Q000601:surgery; D011182:Postoperative Care / Q000379:methods; D011379:Prognosis; D019919:Prosthesis Implantation; D011832:Radiation Injuries / Q000517:prevention & control*; D011835:Radiation Protection / Q000295:instrumentation; D011859:Radiography; D018714:Radiotherapy, Adjuvant; D012828:Silicones
D012828:Silicones