Ascending colon cancer accompanied by tumor thrombosis in the superior mesenteric vein: A case report.
Case report
Colorectal cancer
Superior mesenteric vein
Tumor thrombosis
Journal
International journal of surgery case reports
ISSN: 2210-2612
Titre abrégé: Int J Surg Case Rep
Pays: Netherlands
ID NLM: 101529872
Informations de publication
Date de publication:
2020
2020
Historique:
received:
19
05
2020
revised:
08
07
2020
accepted:
09
07
2020
pubmed:
30
7
2020
medline:
30
7
2020
entrez:
30
7
2020
Statut:
ppublish
Résumé
Venous tumor thrombosis occasionally accompanies renal cancer, liver cancer, and pancreatic cancer. Colorectal cancer is seldom accompanied by venous tumor thrombosis in the portal vein or the superior or inferior mesenteric veins (SMV, IMV), and little is known about its features. We report a case of ascending colon cancer with tumor thrombosis in the SMV treated with right hemicolectomy and combined resection of the SMV. An 82-year-old man with chief complaints of loss of appetite was admitted to our hospital. He was diagnosed with ascending colon cancer accompanied with tumor thrombosis extending to the SMV. He underwent right hemicolectomy and combined resection of the tumor thrombosis and the SMV. Intestinal blood flow was evaluated by intraoperative indocyanine green (ICG) fluorography. He continued to recover well from surgery. No adjuvant chemotherapy was employed because of the patient's advanced age and his own will. He was transferred to another hospital on postoperative day 39. Six months after surgery, abdominal CT showed multiple liver metastases. He died 8 months after surgery. Radical resection of the primary tumor and surgical thrombectomy should be considered for the treatment of colorectal cancer without distant metastasis accompanied by tumor thrombosis. However, venous tumor thrombosis is representative of an aggressive cancer and that may be a strong risk factor for the development of liver metastasis. Adjuvant systematic chemotherapy in addition to complete surgical resection may be one of the treatment strategies.
Identifiants
pubmed: 32721884
pii: S2210-2612(20)30529-0
doi: 10.1016/j.ijscr.2020.07.018
pmc: PMC7388164
pii:
doi:
Types de publication
Case Reports
Langues
eng
Pagination
239-243Informations de copyright
Copyright © 2020 The Authors. Published by Elsevier Ltd.. All rights reserved.
Références
Asian J Surg. 2018 May;41(3):197-202
pubmed: 27693064
Surg Endosc. 2016 Jul;30(7):2736-42
pubmed: 26487209
Clin Endosc. 2019 Sep;52(5):506-509
pubmed: 30992420
Ann Nucl Med. 2007 Jun;21(3):185-8
pubmed: 17561590
Vasc Specialist Int. 2014 Dec;30(4):155-8
pubmed: 26217636
J Gastroenterol. 2002;37(3):220-8
pubmed: 11931537
Int J Surg Case Rep. 2018;51:358-363
pubmed: 30261478
Int J Colorectal Dis. 2020 Feb;35(2):269-275
pubmed: 31838580
Int J Surg. 2018 Dec;60:132-136
pubmed: 30342279
Acta Radiol. 2003 Mar;44(2):160-1
pubmed: 12694101
Dis Colon Rectum. 2018 Oct;61(10):1228-1234
pubmed: 30192332