[Composite tumor of the colon with liver metastases].

Cir Esp

Departamento de Cirugía Digestiva, División de Cirugía, Pontificia Universidad Católica de Chile, Marcoleta 367, Santiago, Chile.

Published: August 2007

Colonic composite tumors are uncommon masses composed of endo- and exocrine cells. Treatment is similar to that of adenocarcinomas. We report the case of a 44-year-old woman who consulted for abdominal pain. A computed tomography (CT) scan showed a tumor at the splenic flexure bowel and 2 hepatic nodules, suggesting metastases. Preoperative biopsies confirmed an adenocarcinoma. The patient underwent surgery, which confirmed the CT findings. Extended right colectomy was performed, followed by an ileal-sigmoid anastomosis, resection of a diaphragm segment, and resection of both hepatic metastases. The patient made a good postoperative recovery. Histological analysis showed moderately differentiated tubular adenocarcinoma combined with a poorly differentiated neuroendocrine carcinoma and metastases in 25 of 28 lymph nodes. The 2 hepatic metastases showed areas of poorly differentiated neuroendocrine carcinoma. The patient is currently asymptomatic and is undergoing chemotherapy.

Download full-text PDF

Source
http://dx.doi.org/10.1016/s0009-739x(07)71681-0DOI Listing

Publication Analysis

Top Keywords

hepatic metastases
8
differentiated neuroendocrine
8
neuroendocrine carcinoma
8
[composite tumor
4
tumor colon
4
colon liver
4
liver metastases]
4
metastases] colonic
4
colonic composite
4
composite tumors
4

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!