A rare case of isolated wound implantation of colorectal adenocarcinoma complicating an incisional hernia: case report and review of the literature.

World Journal of Surgical Oncology
Aninda ChandraHarnaik Johal

Abstract

The reported case illustrates an instance of colonic adenocarcinoma presenting as an isolated tumour 3 1/2 years after open surgery. The presentation was in some respects unique as it was complicated by an incisional hernia and occurred in the anterior abdominal wall. A literature review was performed. An 83 year old lady initially underwent an extended right open hemicolectomy for a mid-transverse colonic adenocarcinoma (T4N2M0). No adjacent structures were involved. After adjuvant chemotherapy, she was kept under regular surveillance. A CT scan and colonoscopy at one year were normal. At 18 months investigations including an ultrasound scan of the liver and a radioisotope bone scan were all negative. Over three and half years later the patient presented with an incisional hernia. Repeat CT scan and tumour markers were reported as negative. At operation, a mass was found within the anterior abdominal wall complicating the incisional hernia. This mass was widely resected and a laparotomy performed. Histology confirmed an adenocarcinoma of colonic origin extending to one of the lateral margins. A post-operative PET scan confirmed the absence of intra-abdominal pathology. The literature regarding recurrence of colonic tumours aft...Continue Reading

References

Dec 1, 1977·The British Journal of Surgery·T T Alagaratnam, G B Ong
Sep 1, 1983·Diseases of the Colon and Rectum·E S HughesW R Johnson
Sep 1, 1984·The British Journal of Surgery·H C UmplebyR C Williamson
Oct 1, 1995·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·P JacquetN Jacquet
Jul 2, 1994·Lancet·F J BerendsJ F Lange
Dec 9, 1998·Digestive Surgery·B SchaeffJ Thomopoulos
Sep 28, 2002·Diseases of the Colon and Rectum·G SilecchiaUNKNOWN Italian Registry of Laparoscopic Colorectal Surgery
May 14, 2004·The New England Journal of Medicine·UNKNOWN Clinical Outcomes of Surgical Therapy Study GroupDavid Ota
Jan 12, 2005·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·S J OosterlingJ R M van der Sijp
Jul 11, 2006·The British Journal of Radiology·E GoshenS T Zwas

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