AI Article Synopsis
- A 71-year-old male with a history of Stage IIb transverse colon cancer showed a mass in the stomach a year after surgery, which was diagnosed as a local recurrence of his cancer.
- The patient underwent surgical treatment due to progressive anemia from tumor bleeding, with the procedure involving tumor resection, distal pancreatectomy, and partial stomach resection, ultimately achieving negative surgical margins.
- Local recurrence of cancer requires aggressive surgical approaches for potential radical cure, as complete resection is the best option, despite concerns over the impact on quality of life.
Article Abstract
A 71-year-old male with a past history of Stage Ⅱb transverse colon cancer was pointed out a mass lesion penetrating into the stomach on abdominal computed tomography 1 year after surgery. The mass lesion was pathologically diagnosed as local recurrence of the previous colon cancer by upper gastrointestinal endoscopy. As he presented progressive anemia due to persistent tumor bleeding and no other recurrent lesion was recognized, surgical treatment was performed. Since intraoperative inspection suspected direct invasion to the pancreas, the patient underwent tumor resection in combination with distal pancreatectomy and partial resection of the stomach. Histopathological examination revealed negative surgical margins, resulting in R0 resection. Loco-regional therapies such as surgery and radiotherapy are considered appropriate for the treatment of local recurrence since pathogenesis of local recurrence is different from that of distant metastasis. As local recurrence may show various symptoms, we should aggressively consider surgical resection. Especially, complete resection of recurrent lesion is the only therapeutic strategy which can achieve radical cure. Although worsening of QOL might be a matter of concern depending on the site of recurrence, extended surgery with secure surgical margins is encouraged in cases of solitary recurrence.
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