A resected case of liver metastasis from colon cancer that occurred 13 years after a colectomy.
A 73-year-old man, who underwent a potentially curative resection of cancer of the descending colon 13 years before, was found to have a well-defined hepatic tumor on ultrasonography. A lateral segmentectomy was performed for a solitary hepatic tumor. Histopathological examination of the tumor indicated well differentiated adenocarcinoma compatible with the metastasis from the previous descending colon cancer. There have been no signs of recurrence for 5 years after the hepatic resection. This case suggests that distant metastasis from colorectal could be found several years after operation like in this case, and consequently long-term and strict follow-up is required after curative resection of the primary lesion.
Yamaguchi
Minekazu
M
Department of Digestive and General Surgery, Shimane University School of Medicine, Izumo 693-8501, Japan. mineyama@aol.com
Yamanoi
Akira
A
Igarashi
Masahiko
M
Obmori
Haruki
H
Yoshimura
Hiroshi
H
Tanaka
Tsuneo
T
Nagasue
Naofumi
N
D000230:Adenocarcinoma / Q000097:blood / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D000368:Aged; D002272:Carcinoembryonic Antigen / Q000097:blood; D003082:Colectomy; D003110:Colonic Neoplasms / Q000473:pathology* / Q000601:surgery; D003952:Diagnostic Imaging; D006498:Hepatectomy; D006499:Hepatic Artery / Q000000981:diagnostic imaging; D006801:Humans; D008113:Liver Neoplasms / Q000097:blood / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D008297:Male; D013997:Time Factors; D014057:Tomography, X-Ray Computed
D002272:Carcinoembryonic Antigen