An isolated vaginal metastasis from rectal cancer

Annals of Medicine and Surgery
Ai SadatomoNaohiro Sata

Abstract

Isolated vaginal metastases from colorectal cancer are extremely rare. There are only a few reported cases in the English literature, and the characteristics of such cases of metastasis remain relatively unknown. We present a case of isolated vaginal metastasis from rectal cancer in a 78-year-old female patient. The patient had no symptoms related to vaginal tumor. Magnetic resonance imaging (MRI) showed thickening of the middle rectum and a vaginal tumor. Biopsy from the vaginal tumor showed adenocarcinoma, similar to the rectal lesion. Low anterior resection with ileostomy, hystero-oophorectomy, and transvaginal tumor resection was performed. After nineteen months, computed tomography scan revealed multiple lung metastases and recurrent tumor in the pelvis. The patient refused chemotherapy and is alive three months after developing recurrent disease. Most cases of primary vaginal carcinoma are squamous cell carcinoma. Other histologic types such as adenocarcinoma are usually metastatic lesions. Primary lesions associated with metastatic vaginal adenocarcinoma are most often the uterus, and are very rarely from the colon or rectum. We review previous case reports of isolated vaginal metastases from colorectal cancer and discus...Continue Reading

References

Jul 1, 1974·Diseases of the Colon and Rectum·S M Lee, H W Whiteley
Aug 1, 1966·The American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine·L Raider
Jun 21, 2005·International Journal of Colorectal Disease·Frédéric MarchalPerrine Granger
May 5, 2010·Japanese Journal of Clinical Oncology·Tomoya Funada, Shin Fujita
Jun 22, 2011·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·C SabbaghF Mauvais
Oct 1, 2013·International Journal of Surgery·Hwei Jene Ng, E H Aly

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Citations

Apr 16, 2019·Clinical Nuclear Medicine·Rang WangMinggang Su
Feb 29, 2020·World Journal of Clinical Cases·Soon Keun KwonJin Cheon Kim

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Methods Mentioned

BETA
surgical resection

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