Surgically Treated Cases of Metastatic Colorectal Cancer after Curative Resection for Gastric Cancer: A Clinicopathological Study

Iwakawa, Kazuhide; Inoue, Hitoshi; Kiyochi, Hidenori; Kajiwara, Shinsuke; Nishie, Manabu; Hamano, Ryosuke; Miyaso, Hideaki; Ohtsuka, Shinya; Ishibashi, Hiromi

doi:10.3862/jcoloproctology.63.191

Cited by 1 publication

(1 citation statement)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Since 1980s, we found 21 cases of colonic metastases occurring at least 5 years after primary resection, once cases from gastric cancer the Japanese literature with English abstracts were included. 2,4,7–17 …”

Section: Discussionmentioning

confidence: 99%

Surgical resection of colorectal recurrence of gastric cancer more than 5 years after primary resection

Noji

Yamamura

Muto

et al. 2014

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

INTRODUCTIONIntestinal metastasis from gastric cancer is rare, although the most common cause of secondary neoplastic infiltration of the colon is gastric cancer. However, little data is available on recurrence or death in patients with gastric cancer surviving >5 years post-gastrectomy. Here we report two cases of lower intestinal metastasis from gastric cancer >5 years after primary resection and discuss with reference to the literature.PRESENTATION OF CASECase 1: A 61-year-old man with a history of total gastrectomy for gastric cancer 9 years earlier was referred to our hospital with constipation and abdominal distention. We diagnosed primary colon cancer and subsequently performed extended left hemicolectomy. Histological examination revealed poorly differentiated adenocarcinoma resembling the gastric tumor he had 9 years earlier. The patient refused postoperative adjuvant chemotherapy and remained alive with cancerous peritonitis and skin metastases as of 17 months later. Case 2: A 46-year-old woman with a history of total gastrectomy for gastric cancer 9 years earlier presented with constipation. She also had a history of Krukenberg tumor 3 years earlier. We diagnosed metastatic rectal cancer and subsequently performed low anterior resection and hysterectomy. Pathological examination revealed poorly differentiated tubular adenocarcinoma, resembling the gastric tumor. The patient remained alive without recurrence as of 17 months later.DISCUSSIONWe found 19 reported cases of patients with resection of colon metastases from gastric cancer. Median disease-free interval was 74 months.CONCLUSIONResection of late-onset colorectal recurrence from gastric cancer appears worthwhile for selected patients.

show abstract

Section: Discussionmentioning

confidence: 99%