Anastomotic Recurrence after Curative Resection for Transverse Colon Cancer-A Case Report
Yoshida, Y.; Miyaso, H.; Yasui, Y.; Kitada, K.; Hamano, R.; Tokunaga, N.; Tsunemitsu, Y.; Otsuka, S.; Iwakawa, K.; Inagaki, M.
Gan to Kagaku Ryoho. Cancer and ChemoTherapy 46(13): 2216-2218
2019
ISSN/ISBN: 0385-0684 PMID: 32156883 Document Number: 698367
The rate of local and anastomotic recurrence after curative resection for colon cancer is quite low, at 2.1%. We describe an anastomotic recurrence that rapidly increased after transverse colon cancer resection. An 80-year-old man underwent laparoscopic- assisted transverse colon resection with D3 lymph node dissection. The pathological diagnosis was pT4aN1bM0, pStage Ⅲb. We diagnosed the patient with anastomotic recurrence and liver metastasis 4 months after the procedure based on PET-CT findings. Partial colon resection(small intestine and stomach combined)was performed at 6 months after the procedure. The patient's quality of life(QOL)was reduced by complications after the second procedure and continuing with chemotherapy became difficult. Although the prognosis of curative resection of local and anastomotic recurrence after transverse colon cancer surgery can be good, combined resection of an adjacent organ can result in a decline in patient QOL. Surgical intervention should be minimally invasive and neo-adjuvant chemotherapy might offer 1 option.