Curatively resected isolated inguinal lymph node metastasis from cecum cancer: report of a case

Hara, Masayasu; Takahashi, Hiroki; Sato, Mikinori; Takayama, Seiji; Nagasaki, Takaya; Takeyama, Hiromitsu

doi:10.1007/s00595-012-0380-9

Cited by 9 publications

(4 citation statements)

References 10 publications

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“…Although non-regional lymph node metastases are generally considered to spread systemically [11], 4 cases of colon cancer with inguinal lymph node metastasis reportedly showed no recurrence after lymph node dissection [4–7]. In our case, the patient lived more than four years after inguinal lymph node dissection despite of peritoneal dissemination recurrence one year after inguinal lymph node dissection.…”

Section: Discussionmentioning

confidence: 60%

Metachronous metastasis to inguinal lymph nodes from sigmoid colon adenocarcinoma with abdominal wall metastasis: a case report

et al. 2019

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Background Inguinal lymph node metastasis from rectum is uncommon but well-known occurrence, whereas that from colon adenocarcinoma is extremely rare. Inguinal lymph node metastasis from colon adenocarcinoma has only been reported in previous cases involving primary tumor invasion of the abdominal wall, or in those involving colon cancer metastasis to external iliac lymph nodes. We describe a case of inguinal lymph node metastasis from colon cancer without primary tumor invasion to the abdominal wall. Case presentation A 42-year-old female, who had undergone twice cesarean sections before, underwent open sigmoidectomy for sigmoid colon adenocarcinoma and received 12 cycles of FOLFOX regimen as adjuvant chemotherapy. Two years after sigmoidectomy, a follow-up CT scan revealed enlarged inguinal lymph nodes as well as growth of enhanced mass lesions on the abdominal wall at site of the cesarean section scar. Biopsy of both lesions revealed well-differentiated adenocarcinoma, and immunohistochemistry demonstrated positive expression of CDX2, substantiating its gastrointestinal origin. We therefore performed dissection of left inguinal lymph nodes and mass lesion of the abdominal wall. The patient died 51 months after lymph node dissection. Conclusions This is the first reported case of inguinal lymph node metastasis from colon cancer without invasion of the primary tumor to the abdominal wall or without involvement of the external iliac lymph nodes, suggesting that the pathway of inguinal metastasis originated from the abdominal wall metastasis. When inguinal lymph node metastasis from colon cancer is suspected, if an R0 resection was possible, inguinal lymph node dissection may be a potentially effective treatment. Electronic supplementary material The online version of this article (10.1186/s12885-019-5386-x) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 60%

Metachronous metastasis to inguinal lymph nodes from sigmoid colon adenocarcinoma with abdominal wall metastasis: a case report

et al. 2019

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“…A comprehensive review of the existing literature, focused on documented cases, has revealed only six instances of colon adenocarcinoma with inguinal lymph node metastasis [ 3–8 ]. In three of these cases [ 3–5 , 7 ], abdominal wall invasion was evident, and the mechanism of inguinal lymph node metastasis was elucidated by a superficial pathway originating from the inferior epigastric artery and leading to the inguinal nodes. In another case, invasion of the iliac nodes preceded metastasis to the inguinal nodes [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Is there a route for metachronous inguinal lymph node in colonic cancer? A case report

Neirouz,

Mehdi,

Mohamed

et al. 2024

Journal of Surgical Case Reports

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As the inguinal lymph nodes do not serve as the primary route for the lymphatic drainage of the colon, inguinal metastasis from colorectal carcinomas is considered an unusual finding, especially in the 2nd year follow-up. A 76-year-old male patient, operated on for non-metastatic right colic adenocarcinoma, consulted 2 years after for a right inguinal swelling. A biopsy was performed. Unexpectedly, it showed an adenocarcinoma metastasis in favor of a colonic origin. There was no relapse of the disease. The pathological examination of the resected inguinal lymph node confirmed malignant cells from a colonic origin. As the positron emission tomography scan showed no other tumoral localizations, a multidisciplinary discussion ensued, culminating in the choice of chemotherapy for optimal pathological response. This case highlights the fact that colic drainage may encounter inguinal lymph nodes and thus inguinal groin metastasis could exceptionally have been seen in colonic carcinomas.

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“…The authors found no difference in the prognosis of the two groups (group 1 included cecal cancer patients with partial abdominal wall invasion who underwent resection of the right colon and partial abdominal wall; group 2 included cecal cancer patients without abdominal wall invasion who underwent resection of the right colon alone) 4. Therefore, radical surgery should be the treatment of choice in the absence of any surgical contraindication for patients 5,6. Extensive radical resection in cecal cancer patients with partial invasion of the abdominal wall may lead to partial deletion of the abdominal wall.…”

Section: Case Studymentioning

confidence: 98%

Tension-free repair during extensive radical surgery for cecal cancer with abdominal wall invasion and inguinal lymph node metastasis

Xu¹,

Chen²,

Song³

2014

TCRM

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We report a case of cecal cancer with invasion of the abdominal wall and right inguinal lymph node metastasis. This patient had undergone an appendectomy 2 years previously. He underwent extensive radical right hemicolectomy with anastomosis and tension-free repair of the damaged right lower abdominal wall. The surgery progressed successfully, and the vital signs of the patient were stable (approximately 200 mL blood loss). Postoperative diagnosis revealed moderately to poorly differentiated adenocarcinoma of the cecum with invasion of the abdominal wall and metastasis of the inguinal lymph nodes (pT4bN2bM1, IV4a). The patient has remained well post-surgery.

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Curatively resected isolated inguinal lymph node metastasis from cecum cancer: report of a case

Cited by 9 publications

References 10 publications

Metachronous metastasis to inguinal lymph nodes from sigmoid colon adenocarcinoma with abdominal wall metastasis: a case report

Metachronous metastasis to inguinal lymph nodes from sigmoid colon adenocarcinoma with abdominal wall metastasis: a case report

Is there a route for metachronous inguinal lymph node in colonic cancer? A case report

Tension-free repair during extensive radical surgery for cecal cancer with abdominal wall invasion and inguinal lymph node metastasis

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