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Recurrent Ascending Colon Cancer Manifesting as Inferior Vena cava Thrombus.

Tori M, Akamatsu H, Ueshima S, Tsujimoto M, Nakahara M - Case Rep Gastroenterol (2008)

Bottom Line: The patient took 5-FU p.o.Two and a half years later, tumor thrombus in the IVC extending into the right atrium was incidentally found and diagnosed as recurrence of colon cancer by biopsy.RF-induced hyperthermia using 5-FU and CDDP i.v. was immediately performed, but she died after 6 months because of multiple liver and pulmonary metastases.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Osaka Police Hospital, Osaka, Japan.

ABSTRACT
We report an extremely rare case of recurrent ascending colon cancer manifesting as inferior vena cava (IVC) thrombus. A 77-year-old woman previously diagnosed with ascending colon cancer underwent right hemicolectomy with lymph node dissection. Though the tumor invaded the retroperitoneum and involved the right ovarian artery and vein, curative operation was performed. The patient took 5-FU p.o. Two and a half years later, tumor thrombus in the IVC extending into the right atrium was incidentally found and diagnosed as recurrence of colon cancer by biopsy. RF-induced hyperthermia using 5-FU and CDDP i.v. was immediately performed, but she died after 6 months because of multiple liver and pulmonary metastases. In treating colon cancers invading the retroperitoneum, it should be recalled that some cases recur as tumor thrombus in the IVC and that close follow-up is therefore necessary.

No MeSH data available.


Related in: MedlinePlus

Resected specimen reveals type 3 tumor in the cecum, 8.5 cm in diameter, with retroperitoneal invasion.
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Figure 1: Resected specimen reveals type 3 tumor in the cecum, 8.5 cm in diameter, with retroperitoneal invasion.

Mentions: A 77-year-old woman was diagnosed with ascending colon carcinoma and underwent surgery at our hospital in January 2000. The operative procedure was a right colectomy with lymph node dissection. At operation, the tumor was located in the cecum, which had invaded the retroperitoneum (psoas muscle) (T4N1M0), but not the right ureter or common iliac artery. Though serum carcinoembryonic antigen level was elevated to 13.9 ng/ml on admission, it decreased to within normal range (<5.0 ng/ml) after operation. The invasive lesions were removed at the same time, and both the right ovarian artery and vein were ligated and cut (fig. 1).


Recurrent Ascending Colon Cancer Manifesting as Inferior Vena cava Thrombus.

Tori M, Akamatsu H, Ueshima S, Tsujimoto M, Nakahara M - Case Rep Gastroenterol (2008)

Resected specimen reveals type 3 tumor in the cecum, 8.5 cm in diameter, with retroperitoneal invasion.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC3037984&req=5

Figure 1: Resected specimen reveals type 3 tumor in the cecum, 8.5 cm in diameter, with retroperitoneal invasion.
Mentions: A 77-year-old woman was diagnosed with ascending colon carcinoma and underwent surgery at our hospital in January 2000. The operative procedure was a right colectomy with lymph node dissection. At operation, the tumor was located in the cecum, which had invaded the retroperitoneum (psoas muscle) (T4N1M0), but not the right ureter or common iliac artery. Though serum carcinoembryonic antigen level was elevated to 13.9 ng/ml on admission, it decreased to within normal range (<5.0 ng/ml) after operation. The invasive lesions were removed at the same time, and both the right ovarian artery and vein were ligated and cut (fig. 1).

Bottom Line: The patient took 5-FU p.o.Two and a half years later, tumor thrombus in the IVC extending into the right atrium was incidentally found and diagnosed as recurrence of colon cancer by biopsy.RF-induced hyperthermia using 5-FU and CDDP i.v. was immediately performed, but she died after 6 months because of multiple liver and pulmonary metastases.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Osaka Police Hospital, Osaka, Japan.

ABSTRACT
We report an extremely rare case of recurrent ascending colon cancer manifesting as inferior vena cava (IVC) thrombus. A 77-year-old woman previously diagnosed with ascending colon cancer underwent right hemicolectomy with lymph node dissection. Though the tumor invaded the retroperitoneum and involved the right ovarian artery and vein, curative operation was performed. The patient took 5-FU p.o. Two and a half years later, tumor thrombus in the IVC extending into the right atrium was incidentally found and diagnosed as recurrence of colon cancer by biopsy. RF-induced hyperthermia using 5-FU and CDDP i.v. was immediately performed, but she died after 6 months because of multiple liver and pulmonary metastases. In treating colon cancers invading the retroperitoneum, it should be recalled that some cases recur as tumor thrombus in the IVC and that close follow-up is therefore necessary.

No MeSH data available.


Related in: MedlinePlus