A Case of Curative Resection of Recurrent Solitary Tumor to Rectovesical Extraperitoneum from Ascending Colon Cancer

Kondo, Akihiro; Asano, Eisuke; Moroguchi, Akito; Okada, Setsuo; Kadota, Kyuichi; Miki, Hiroshi

doi:10.5833/jjgs.43.1064

Jpn J Gastroenterol Surg

2010

DOI: 10.5833/jjgs.43.1064

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A Case of Curative Resection of Recurrent Solitary Tumor to Rectovesical Extraperitoneum from Ascending Colon Cancer

Akihiro Kondo¹,

Eisuke Asano²,

Akito Moroguchi³

et al.

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Cited by 2 publications

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Curative Resection for Solitary Rectovesical Pouch Metastasis from Sigmoid Colon Carcinoma - A Case Report

Kurachi¹,

Nakamura²,

Nakamura³

et al. 2012

Journal of Japan Society of Coloproctology

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A 54-year-old man underwent sigmoidcolectomy with D3 lymph node dissection for sigmoid colon carcinoma (SS, N0, ly1, v1, P0, H0, M0, stage , R0). Sixteen months after the initial surgery, serum CEA level was elevated and a solitary rectovesical pouch lesion was detected by FDG-PET and CT; no other recurrent lesions were found. We made a diagnosis of solitary rectovesical metastasis and performed a low anterior resection. The tumor was 2 cm in size, on the peritoneum of the rectovesical pouch and adhering to the rectum. Histological diagnosis was well differentiated adenocarcinoma, which was compatible with metastasis from the previously resected colon carcinoma. The patient has been well without either complications or recurrence for 62 months since the second operation. Solitary rectovesical or rectouterine pouch metastasis after colectomy for colon carcinoma is infrequent. The CEA level and FDG-PET are useful for early diagnosis. Surgical resection may prolong the survival of patients with solitary rectovesical or rectouterine pouch metastasis from colon carcinoma.

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Curative Resection for Solitary Rectovesical Pouch Metastasis from Sigmoid Colon Carcinoma - A Case Report

Kurachi¹,

Nakamura²,

Nakamura³

et al. 2012

Journal of Japan Society of Coloproctology

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A Case of Laparoscopic Resection for Solitary Peritoneal Recurrence of Rectal Cancer

Yokomizo¹,

Nagaya

Mizutani³

et al. 2018

JJCS

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A 74-year-old man with rectal cancer underwent laparoscopic low anterior resection in December 2013. After surgery, he was administered adjuvant chemotherapy for 4 months, but the treatment had to be discontinued because of the emergence of adverse events. The serum carcinoembryonic antigen level was elevated to 5.6 ng/ml in August 2015. However, abdominal computed tomography (CT) revealed no metastasis or recurrence for 1 year. In November 2016, CT and fluorodeoxyglucose positron emission tomography (FDG-PET) showed local recurrence in the peritoneum. He was referred for a laparoscopic tumor resection of the local recurrence. Histological examination of the recurrent tumor revealed moderately differentiated adenocarcinoma. Until now, 11 months since, the patient has been in remission. Laparoscopic tumor resection of the local recurrence showed therapeutic benefit in this patient.

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A Case of Curative Resection of Recurrent Solitary Tumor to Rectovesical Extraperitoneum from Ascending Colon Cancer

Cited by 2 publications

References 5 publications

Curative Resection for Solitary Rectovesical Pouch Metastasis from Sigmoid Colon Carcinoma - A Case Report

Curative Resection for Solitary Rectovesical Pouch Metastasis from Sigmoid Colon Carcinoma - A Case Report

A Case of Laparoscopic Resection for Solitary Peritoneal Recurrence of Rectal Cancer

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