ID 111135
Author
Ouchi, Akira Aichi Cancer Center Hospital
Komori, Koji Aichi Cancer Center Hospital
Kimura, Kenya Aichi Cancer Center Hospital
Kinoshita, Takashi Aichi Cancer Center Hospital
Ito, Seiji Aichi Cancer Center Hospital
Abe, Tetsuya Aichi Cancer Center Hospital
Senda, Yoshiki Aichi Cancer Center Hospital
Misawa, Kazunari Aichi Cancer Center Hospital
Ito, Yuichi Aichi Cancer Center Hospital
Uemura, Norihisa Aichi Cancer Center Hospital
Natsume, Seiji Aichi Cancer Center Hospital
Kawakami, Jiro Aichi Cancer Center Hospital
Shimizu, Yasuhiro Aichi Cancer Center Hospital
Keywords
peritoneal metastasis
colon cancer
laparoscopic surgery
Content Type
Journal Article
Description
A 77-year-old Japanese female underwent laparoscopic ileocecal resection and lymph node dissection for cecal cancer by a previous doctor. Two years and 9 months after previous operation, contrast-enhanced computed tomography and magnetic resonance imaging with gadolinium ethoxybenzyl-L-diethylenetriamine pentaacetic acid revealed an intraperitoneal tumor at the right subphrenic fossa. 18F-fluorodeoxyglucose position emission tomography showed fluorodeoxyglucose accumulation in the tumor, and we suspected the tumor to be solitary distant peritoneal metastasis of the previous cecal cancer to the right diaphragm. We performed partial diaphragmectomy and direct closure, and pathological examination revealed moderately differentiated tubular adenocarcinoma resembling the previous cecal cancer, which seemed to be disseminated metastasis in the pathological features. Based on the intraoperative findings, we assumed the tumor to be solitary distant peritoneal metastasis caused by procedures during the previous laparoscopic operation. The present report suggests the importance of paying close attention to procedures during laparoscopic colorectal resection to prevent peritoneal seeding.
Journal Title
The Journal of Medical Investigation
ISSN
13496867
13431420
NCID
AA11166929
AA12022913
Publisher
Faculty of Medicine Tokushima University
Volume
64
Issue
3-4
Start Page
288
End Page
290
Sort Key
288
Published Date
2017-08
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
TextVersion
Publisher