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| Complex pattern of colon cancer recurrence including a kidney metastasis： A case report | |
| 作者姓名： | Waleczek H Wente MN Kozianka J |
| 作者单位： | Department of Surgery Evangelic Hospital Bredenscheider StraBe 54 D-45525 Hattingen Germany,Department of General Surgery University of Heidelberg Im Neuenheimer Feld 110 D-69120 Heidelberg Germany,Department of Surgery St-Anna-Hospital HospitalstraBe 19 D-44649 Herne |
| 摘 要： | We report a case of a 77-year-old female with a local recurrence of cancer after right hemicolectomy which infiltrated the pancreatic head affording pancreatoduodenectomy, who developed 3 years later recurrent tumor masses localized in the mesentery of the jejunum and in the lower pole of the left kidney. Partial nephrectomy and a segment resection of the small bowel were performed. Histological examination of both specimens revealed a necrotic metastasis of the primary carcinoma of the colon. Although intraluminal implantation of colon cancer cells in the renal pelvic mucosa from ureteric metastasis has been described, metastasis of a colorectal cancer in the kidney parenchyma is extremely rare and can be treated in an organ preserving manner. A complex pattern of colon cancer recurrence with unusual and rare sites of metastasis is reported. |
| 关 键 词： | 结肠癌 肾肿瘤 肿瘤转移 病例报告 |
| 收稿时间： | 2004 Apr 15 |
Complex pattern of colon cancer recurrence including a kidney metastasis: a case report |
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| Waleczek H,Wente MN,Kozianka J.Complex pattern of colon cancer recurrence including a kidney metastasis: a case report[J].World Journal of Gastroenterology,2005,11(35):5571-5572. | |
| Authors: | Waleczek Helfried Wente Moritz-N Kozianka Jürgen |
| Institution: | 1. Department of Surgery, Evangelic Hospital,Bredenscheider Straβe 54, D-45525 Hattingen, Germany 2. Department of General Surgery, University of Heidelberg, Im Neuenheimer Feld 110, D-69120 Heidelberg,Germany 3. Department of Surgery, St-Anna-Hospital,Hospitalstraβe 19, D-44649 Herne,Germany |
| Abstract: | We report a case of a 77-year-old female with a local recurrence of cancer after right hemicolectomy which infiltrated the pancreatic head affording pancreatoduodenectomy, who developed 3 years later recurrent tumor masses localized in the mesentery of the jejunum and in the lower pole of the left kidney. Partial nephrectomy and a segment resection of the small bowel were performed. Histological examination of both specimens revealed a necrotic metastasis of the primary carcinoma of the colon. Although intraluminal implantation of colon cancer cells in the renal pelvic mucosa from ureteric metastasis has been described, metastasis of a colorectal cancer in the kidney parenchyma is extremely rare and can be treated in an organ preserving manner. A complex pattern of colon cancer recurrence with unusual and rare sites of metastasis is reported. |
| Keywords: | Colonic neoplasm Local recurrence Kidney metastasis |
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