Subcutaneous Metastasis from Rectal Carcinoma after Low Anterior Resection-A Case Report
Funamizu, N.; Hiramoto, Y.; Tomori, K.; Nakabayashi, Y.; Yanaga, K.
Gan to Kagaku Ryoho. Cancer and ChemoTherapy 46(8): 1323-1325
2019
ISSN/ISBN: 0385-0684 PMID: 31501380 Document Number: 698459
A 63-year-old woman was admitted to our hospital owing to advanced rectal carcinoma. The patient underwent laparoscopic lowanterior resectionwith D3 lymph node dissection and partial resection of the uterus. The histopathological diagnosis was fT4bN2M0, fStage Ⅲb. Thus, capecitabine plus oxaliplatin(CapeOX)therapy as adjuvant chemotherapy was scheduled for 6 months. However, after the 4th course of chemotherapy, contrast-enhanced CT revealed multiple metastases of the rectal carcinoma including metastases in the liver, peritoneum, retroperitoneum, and subcutaneous tissue of the left lower back. The patient received palliative treatment and died 8 months after surgery. Only a fewcases of subcutaneous metastasis of rectal carcinoma have been reported. Therefore, we herein report this case with a review of the literature.