[Resection of Chest Wall Metastasis from Rectal Mucinous Carcinoma-A Case Report]

Gan To Kagaku Ryoho. 2023 Oct;50(10):1085-1087.
[Article in Japanese]

Abstract

An 81-year-old woman with rectal mucinous carcinoma underwent a laparoscopic low anterior resection in February 2019, followed by chemotherapy using XELOX plus Bev. The adjuvant chemotherapy was discontinued due to interstitial pneumonia. During a follow-up consultation 2 years later, chest computed tomography(CT)imaging revealed a nodule in her right lung(S9). Based on a radiological diagnosis of metastasis and considering her history of rectal cancer, a partial resection of the right lung was executed. One year after the pulmonary resection, a growing nodule in her right lateral chest wall was detected. A metastatic chest wall tumor was suspected, and a right chest wall tumor resection at the 5th and 6th ribs was performed. A rectal mucinous carcinoma metastasis was diagnosed using histopathological examination. The postoperative course was good, and she was discharged from hospital on the 10th day. To conclude, there are few reported cases of rectal cancer chest wall metastasis, and a further accumulation of similar cases is necessary for the development of treatment options.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adenocarcinoma, Mucinous* / drug therapy
  • Adenocarcinoma, Mucinous* / surgery
  • Aged, 80 and over
  • Chemotherapy, Adjuvant
  • Female
  • Humans
  • Rectal Neoplasms* / drug therapy
  • Rectal Neoplasms* / pathology
  • Rectal Neoplasms* / surgery
  • Thoracic Wall* / pathology
  • Thoracic Wall* / surgery
  • Tomography, X-Ray Computed