Multiple peritoneal dissemination of T2 colorectal cancer without lymph node metastases: a case report.


Journal

Journal of surgical case reports
ISSN: 2042-8812
Titre abrégé: J Surg Case Rep
Pays: England
ID NLM: 101560169

Informations de publication

Date de publication:
Jul 2020
Historique:
received: 28 02 2020
revised: 29 03 2020
accepted: 15 06 2020
entrez: 8 8 2020
pubmed: 8 8 2020
medline: 8 8 2020
Statut: epublish

Résumé

Most cases of peritoneal dissemination of colorectal cancers are from T3 or T4 tumors. A 61-year-old woman was admitted for examination of a positive fecal occult blood test. Colonoscopy showed an ascending colon tumor that was diagnosed as an adenocarcinoma with massive submucosal invasion. Imaging modality revealed numerous nodules throughout the abdominal cavity. Peritoneal dissemination of the ascending colon or ovarian cancer and pseudomyxoma peritonei were considered in the preoperative differential diagnoses, and laparoscopic ileocecal resection was performed. Intraperitoneal observation revealed numerous white nodules in the peritoneum, omentum and Douglas fossa. Both the nodules and tumor were diagnosed as mucinous carcinoma based on a pathology report. The tumor invasion depth was limited to muscularis propria, and no regional lymph node metastasis was detected. Peritoneal dissemination of the ascending colon cancer was considered. We report a rare case of multiple peritoneal dissemination of T2 colorectal cancer without lymph node metastases.

Identifiants

pubmed: 32760481
doi: 10.1093/jscr/rjaa118
pii: rjaa118
pmc: PMC7394141
doi:

Types de publication

Case Reports

Langues

eng

Pagination

rjaa118

Informations de copyright

Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2020.

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Auteurs

Yosuke Namba (Y)

Department of Surgery, Chugoku Rosai Hospital, Kure, Japan.

Yuzo Hirata (Y)

Department of Surgery, Chugoku Rosai Hospital, Kure, Japan.
Department of Gastroenterological and Transplant Surgery Applied Life Sciences, Institute of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

Shoichiro Mukai (S)

Department of Surgery, Chugoku Rosai Hospital, Kure, Japan.
Department of Gastroenterological and Transplant Surgery Applied Life Sciences, Institute of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

Toshihiro Nishida (T)

Department of Pathology Clinical Laboratory, Chugoku Rosai Hospital, Kure, Japan.

Syo Ishikawa (S)

Department of Surgery, Chugoku Rosai Hospital, Kure, Japan.

Azusa Kai (A)

Department of Surgery, Chugoku Rosai Hospital, Kure, Japan.

Akihiro Kohata (A)

Department of Surgery, Chugoku Rosai Hospital, Kure, Japan.

Syo Okimoto (S)

Department of Surgery, Chugoku Rosai Hospital, Kure, Japan.
Department of Gastroenterological and Transplant Surgery Applied Life Sciences, Institute of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

Seiji Fujisaki (S)

Department of Surgery, Chugoku Rosai Hospital, Kure, Japan.
Department of Gastroenterological and Transplant Surgery Applied Life Sciences, Institute of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

Saburo Fukuda (S)

Department of Surgery, Chugoku Rosai Hospital, Kure, Japan.
Department of Gastroenterological and Transplant Surgery Applied Life Sciences, Institute of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

Mamoru Takahashi (M)

Department of Surgery, Chugoku Rosai Hospital, Kure, Japan.
Department of Gastroenterological and Transplant Surgery Applied Life Sciences, Institute of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

Toshikatsu Fukuda (T)

Department of Surgery, Chugoku Rosai Hospital, Kure, Japan.
Department of Gastroenterological and Transplant Surgery Applied Life Sciences, Institute of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

Classifications MeSH