title: [Case report--a long-term surviving patient who received lymph node dissection of skip metastasis from rectosigmoid cancer to bilateral lateral lymph nodes].
abstract: Skip metastasis in colorectal cancer consists of about 10% of lymph node metastases. We report a rare long-term surviving patient of skip metastasis to lateral nodes after lymph node dissection. A forty-two years old female received anterior resection for advanced rectosigmoid cancer. Because pathological stage of the patient was stage IIIa (T3N1M0), standard adjuvant chemotherapy was provided. Serum CEA increased just two years after the first operation. PET scan showed abnormal FDG uptake in lymph nodes along the aorta. Lymph nodes along the inferior mesenteric artery (IMA), bilateral common iliac artery and aorta were dissected. There were metastases to nodes along the common iliac artery but no metastasis along the IMA was observed. So we diagnosed it as skip metastasis. The patient is still alive without any metastasis after 6 years from the second operation.
authors.affiliation: Dept. of Surgery, Kansai Rosai Hospital.
authors.forename: Rei
authors.initials: R
authors.lastname: Suzuki
authors.forename: Ken
authors.initials: K
authors.lastname: Nakata
authors.forename: Shu
authors.initials: S
authors.lastname: Okamura
authors.forename: Takeshi
authors.initials: T
authors.lastname: Kanemura
authors.forename: Ayako
authors.initials: A
authors.lastname: Yanai
authors.forename: Masayoshi
authors.initials: M
authors.lastname: Kobayashi
authors.forename: Yasumasa
authors.initials: Y
authors.lastname: Yoshioka
authors.forename: Kumiko
authors.initials: K
authors.lastname: Uji
authors.forename: Atsuko
authors.initials: A
authors.lastname: Yoshida
authors.forename: Atsushi
authors.initials: A
authors.lastname: Takeno
authors.forename: Shin
authors.initials: S
authors.lastname: Nakahira
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Miki
authors.forename: Keishi
authors.initials: K
authors.lastname: Sugimoto
authors.forename: Shigeyuki
authors.initials: S
authors.lastname: Tamura
mesh_terms: D000328:Adult; D002272:Carcinoembryonic Antigen / Q000032:analysis; D017024:Chemotherapy, Adjuvant; D015179:Colorectal Neoplasms / Q000473:pathology*; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis / Q000473:pathology
chemical_list: D002272:Carcinoembryonic Antigen