Transverse colon cancer occurring at a colostomy site 35 years after colostomy: a case report
Autor: | Kenta Nakahara, Shoji Shimada, Eiji Hidaka, Shin-ei Kudo, Daisuke Takayanagi, Yusuke Takehara, Fumio Ishida, Mari Shimada, Shumpei Mukai, Chiyo Maeda, Naruhiko Sawada |
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Jazyk: | angličtina |
Předmět: |
Colostomy site
medicine.medical_specialty Colorectal cancer medicine.medical_treatment Perforation (oil well) Case Report Adenocarcinoma Stoma (medicine) Laparotomy Colostomy Ostomate medicine Humans Aged 80 and over business.industry Transverse colon Prognosis medicine.disease Colostomy Site Surgery medicine.anatomical_structure Oncology Colonic Neoplasms Abdomen Female Tomography X-Ray Computed business Colon Transverse |
Zdroj: | World Journal of Surgical Oncology |
ISSN: | 1477-7819 |
DOI: | 10.1186/s12957-015-0593-7 |
Popis: | Background Carcinomas occurring at colostomy sites are rare, and most of these are metachronous colorectal cancers. The median time between colostomy and development of a carcinoma at a colostomy site is 22 years, which exceeds the length of the recommended follow-up period. We report a rare case of a carcinoma of the transverse colon occurring at a colostomy site in a patient without a history of colorectal cancer. Case report An 89-year-old woman presented with a tumor occurring at a colostomy site. Thirty-five years previously, she had undergone a transverse loop colostomy for an iatrogenic colon perforation that occurred during left ureteral lithotomy. Upon physical examination, the patient had a hard nodule measuring 3 cm at the colostomy site. A biopsy of the nodule suggested adenocarcinoma, and the preoperative diagnosis was transverse colon cancer. A laparotomy was performed via a peristomal incision with 5-mm skin margins, and the tumor was covered by a surgical glove to avoid any tumor seeding. The colon was separated from the tumor by 5-cm margins, and the specimen was removed en bloc. An end colostomy was constructed to a new site on the right side of the abdomen. The deficit in the abdominal wall was repaired, and the skin was closed via a purse-string suture. The final diagnosis of the stoma tumor was transverse colon cancer (T2, N0, M0, stage I). One year and five months after surgery, there was no evidence of recurrence. Conclusions The occurrence of carcinomas at colostomy sites in patients without a history of colorectal cancer is rare. It is important to train ostomates to monitor the stoma for possible tumor recurrence. |
Databáze: | OpenAIRE |
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