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Medicine Mar 2023Colon carcinoma is the most common type of cancer, and a leading cause of cancer-related death. Clinically, the most common sites of metastases from colon carcinoma are... (Review)
Review
RATIONALE
Colon carcinoma is the most common type of cancer, and a leading cause of cancer-related death. Clinically, the most common sites of metastases from colon carcinoma are the liver, lungs, peritoneum, and lymph nodes, while the incidence of metastases to the prostate is low. There are few relevant studies on colon carcinoma, most of them being case reports.
PATIENT CONCERNS
A 76-year-old man treated with radical resection of right colon carcinoma due to primary poorly differentiated adenocarcinoma of the cecum. Postoperative pathological examination suggested that he had cancer at the junction of the ascending colon and the cecum. He had received adjuvant chemotherapy after surgery. One year later, he received transurethral plasma resection of the prostate due to urinary system discomfort. Postoperative pathological immunohistochemistry suggested prostate metastasis of colorectal carcinoma, and he received individualized treatment, but this produced no clear survival benefit.
DIAGNOSES
Ascending colon cecal junction carcinoma with prostate metastasis.
INTERVENTIONS
Radical resection, chemotherapy, anti-androgen therapy, surgery to relieve primary lesion obstruction symptoms, and local radiotherapy of the prostate.
OUTCOMES
At present, clinical cases of colon carcinoma with prostate metastasis are rare. By sharing a rare case of ascending colon cecal junction carcinoma with prostate metastasis and reviewing the relevant literature, this paper explores and optimizes the clinical treatment of colon carcinoma with prostate metastasis.
Topics: Male; Humans; Aged; Colon, Ascending; Prostate; Prostatic Neoplasms; Colonic Neoplasms; Carcinoma; Cecal Neoplasms
PubMed: 36930066
DOI: 10.1097/MD.0000000000033308 -
Internal Medicine (Tokyo, Japan) Oct 2021
Topics: Colon, Ascending; Humans; Hypertension, Portal; Varicose Veins
PubMed: 33867394
DOI: 10.2169/internalmedicine.7334-21 -
The American Journal of Case Reports Sep 2022BACKGROUND Sarcomatoid carcinoma is a rare tumor that can occur in different organs and anatomical locations. Colonic sarcomatoid carcinoma, also known as... (Review)
Review
BACKGROUND Sarcomatoid carcinoma is a rare tumor that can occur in different organs and anatomical locations. Colonic sarcomatoid carcinoma, also known as carcinosarcoma, is an extremely rare tumor, with only 32 cases reported world-wide. The pathogenesis and guidelines for treatment are poorly understood due to the rarity and invasiveness of the disease. CASE REPORT A 77-year-old woman presented with worsening lower abdominal pain and associated fever after having initially been diagnosed with stump appendicitis and associated phlegmon 3 weeks prior, which was treated with antibiotics. Repeat imaging revealed an extraluminal versus perforated colonic mass with associated phlegmon. The patient's condition continued to worsen, with development of obstructive-like symptoms, resulting in operative intervention involving a R2 right hemicolectomy, stapled ileo-colostomy, and partial omentectomy. The patient had an uneventful remainder of her hospitalization other than continued lower abdominal pain. After initial discharge, the patient presented to an outside hospital due to continued deterioration of health, with findings of an additional mass, likely secondary to the previous lymphadenopathy. Ultimately, goals of care were discussed, and the decision was made to provide palliative care, and the patient died due to her illness 32 days after the initial procedure. CONCLUSIONS Carcinosarcoma is an extremely rare tumor with scant research guiding treatment guidelines. Current guidelines gathered from previous case reports suggest treating colorectal carcinosarcoma as adenocarcinoma. Additional research and studies are needed to establish appropriate therapeutic guidelines for carcinosarcoma.
Topics: Abdominal Pain; Aged; Anti-Bacterial Agents; Carcinoma; Carcinosarcoma; Cellulitis; Colon, Ascending; Female; Humans
PubMed: 36176184
DOI: 10.12659/AJCR.937548 -
ANZ Journal of Surgery Sep 2021
Topics: Colon, Ascending; Degloving Injuries; Humans; Surgical Flaps
PubMed: 33513279
DOI: 10.1111/ans.16632 -
Annals of the Royal College of Surgeons... Feb 2020Approximately 5% of intestinal obstruction cases are caused by internal herniation. Caecal herniation through the foramen of Winslow is considered a rare event. The... (Review)
Review
Approximately 5% of intestinal obstruction cases are caused by internal herniation. Caecal herniation through the foramen of Winslow is considered a rare event. The management of caecal herniation remains challenging due to the lack of literature highlighting this pathology. A 66-year-old woman was admitted with a 24-hour history of epigastric pain radiating to the back. The pain was associated with nausea and vomiting of gastric contents. On examination, the abdomen was soft with mild tenderness but no signs of peritonism or distension. The abdominal x-ray and a computed tomography were in keeping with caecal volvulus and confirmed that the caecum was not in the right iliac fossa. In a midline laparotomy procedure, the ileum, caecum and ascending colon were noted to be herniating into the foramen of Winslow. A right hemicolectomy with a handsewn anastomosis was performed. The foramen of Winslow was not closed. No postoperative complications occurred. A literature review showed a lack of similar cases with no agreed management consensus. The laparotomy approach is comparable to the laparoscopic approach and no caecal herniation recurrence after open/laparoscopic surgical procedures were identified. Awareness of caecal herniation allows early diagnosis and timely surgical management is needed in prevent patient morbidity and mortality.
Topics: Aged; Cecal Diseases; Cecum; Colon, Ascending; Female; Hernia, Abdominal; Herniorrhaphy; Humans; Intestinal Obstruction; Radiography, Abdominal; Tomography, X-Ray Computed
PubMed: 31532226
DOI: 10.1308/rcsann.2019.0123 -
Congenital Anomalies Jan 2021
Review
Topics: Anorectal Malformations; Clinical Decision-Making; Colon, Ascending; Disease Management; Female; Humans; Infant, Newborn; Intestinal Atresia; Laparoscopy; Male; Radiography, Abdominal
PubMed: 32901979
DOI: 10.1111/cga.12392 -
Gan To Kagaku Ryoho. Cancer &... Dec 2023The patient was a 70-year-old man. The patient had progressive anemia while taking 10 mg/day of prednisolone and 100 mg/day of mizoribine orally for bullous pemphigoid,... (Review)
Review
The patient was a 70-year-old man. The patient had progressive anemia while taking 10 mg/day of prednisolone and 100 mg/day of mizoribine orally for bullous pemphigoid, a colonoscopy diagnosed ascending colon cancer. Adenocarcinoma, Group 5 was detected on biopsy. Abdominal computed tomography showed no metastases. The tumor was diagnosed as ascending colon cancer, cT4aN0M0, cStage Ⅱb. We performed laparoscopic right hemicolectomy and D3 dissection. Histopathological examination revealed pT3N0M0, pStage Ⅱa. In the present report, we describe a case of the ascending colon cancer with bullous pemphigoid, and discuss the case with a review of the literature.
Topics: Male; Humans; Aged; Colon, Ascending; Pemphigoid, Bullous; Colonic Neoplasms; Colectomy; Adenocarcinoma
PubMed: 38303351
DOI: No ID Found -
Indian Journal of Pathology &... 2021Lymphomas are hematological malignancies with a wide variety of histological subtypes, varied clinical manifestations and behaviour and have a wide range of organ... (Review)
Review
Lymphomas are hematological malignancies with a wide variety of histological subtypes, varied clinical manifestations and behaviour and have a wide range of organ involvement. About 40 per cent of lymphomas are extra nodal. The most common extra nodal site is gastrointestinal tract (GIT). In the GIT, stomach is the most common organ involved accounting for 50-60 per cent of the lesions. Colorectal lymphomas are rare and account for 15-20 per cent of GIT lymphomas. They constitute 1 per cent of colorectal malignancies. Most common histological type of lymphoma involving GIT is diffuse large B-cell lymphoma, followed by MALT lymphoma; T-cell lymphomas are very rare and have an incidence of 3 per cent of Non Hodgkins Lymphoma (NHL). We report a case of anaplastic large cell lymphoma in the caecum and ascending colon with review of literature.
Topics: Cecum; Colon, Ascending; Colorectal Neoplasms; Drug Therapy; Female; Histological Techniques; Humans; Lymphoma, Large-Cell, Anaplastic; Tomography, X-Ray Computed; Treatment Outcome; Young Adult
PubMed: 33433433
DOI: 10.4103/IJPM.IJPM_225_19 -
World Journal of Gastroenterology Dec 2008Metastatic palatine tonsil cancer is extremely rare, with nearly 100 such tumors reported in the English literature. The prognosis of metastatic palatine tonsil cancer... (Review)
Review
Metastatic palatine tonsil cancer is extremely rare, with nearly 100 such tumors reported in the English literature. The prognosis of metastatic palatine tonsil cancer is poor. A 53-year-old man presented with painless left palatine tonsillar swelling and a cervical mass following right hemicolectomy for an ascending colon adenocarcinoma. Physical examination showed an ulcerated mass located on the upper pole of the left palatine tonsil. A punch biopsy was taken for histological examination which showed a moderately-differentiated adenocarcinoma. The patient was treated with palliative radiotherapy and chemotherapy. He was still alive when we wrote this paper. Our case shows that immunohistochemical diagnosis of metastatic palatine tonsil cancer is essential.
Topics: Adenocarcinoma; Biopsy; Colon, Ascending; Colonic Neoplasms; Combined Modality Therapy; Drug Therapy; Humans; Male; Middle Aged; Prognosis; Radiotherapy; Tonsillar Neoplasms
PubMed: 19084924
DOI: 10.3748/wjg.14.7138 -
Internal Medicine (Tokyo, Japan) Oct 2019Undifferentiated pleomorphic sarcoma (UPS) is a soft tissue sarcoma, occurring most commonly on the lower extremities. We herein report a rare case of primary UPS... (Review)
Review
Undifferentiated pleomorphic sarcoma (UPS) is a soft tissue sarcoma, occurring most commonly on the lower extremities. We herein report a rare case of primary UPS adjacent to the ascending colon and in the right iliopsoas muscle. Computed tomography of the abdomen revealed large masses, and the patient experienced a high-grade fever, leukocytosis, elevated serum C-reactive protein level, and hematopoietic activation on F-fluorodeoxyglucose-positron emission tomography. This inflammatory reaction was caused by granulocyte colony-stimulating factor secreted by tumor cells. Surgical resection was performed, and the inflammatory reaction disappeared immediately. The patient received adjuvant chemotherapy and survived one year after the operation without evidence of recurrence.
Topics: Colon, Ascending; Granulocyte Colony-Stimulating Factor; Humans; Liposarcoma; Male; Middle Aged; Positron-Emission Tomography; Psoas Muscles; Thigh; Tomography, X-Ray Computed
PubMed: 31243197
DOI: 10.2169/internalmedicine.2762-19