Metachronous colorectal liver metastasis that occurred 10 years after laparoscopic colectomy: a case report
Abstract Background Delayed onset of colorectal liver metastasis (CRLM) > 5 years after primary colorectal surgery is rare. Herein, we report a case of delayed-onset CRLM that occurred 10 years after primary surgery, for which laparoscopic hepatectomy was performed. Case presentation A 68-year-ol...
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Japan Surgical Society
2022-08-01
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| Series: | Surgical Case Reports |
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| Online Access: | https://doi.org/10.1186/s40792-022-01503-9 |
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| author | Hidetoshi Shidahara Tomoyuki Abe Akihiko Oshita Yusuke Sumi Hiroshi Okuda Manabu Kurayoshi Shuji Yonehara Tsuyoshi Kobayashi Hideki Ohdan Toshio Noriyuki Masahiro Nakahara |
| author_facet | Hidetoshi Shidahara Tomoyuki Abe Akihiko Oshita Yusuke Sumi Hiroshi Okuda Manabu Kurayoshi Shuji Yonehara Tsuyoshi Kobayashi Hideki Ohdan Toshio Noriyuki Masahiro Nakahara |
| author_sort | Hidetoshi Shidahara |
| collection | DOAJ |
| description | Abstract Background Delayed onset of colorectal liver metastasis (CRLM) > 5 years after primary colorectal surgery is rare. Herein, we report a case of delayed-onset CRLM that occurred 10 years after primary surgery, for which laparoscopic hepatectomy was performed. Case presentation A 68-year-old man was admitted to the hospital. His medical history revealed double colon cancer detected 10 years ago, for which laparoscopic colectomy was performed. The pathological tumor–node–metastasis stages were stages I and II. Thereafter, oral floor cancer occurred 7 years after the primary surgery and was curatively resected. The annual follow-up with positron emission tomography–computed tomography (CT) identified a tumor at segment 7/8 (S7/8) of the liver with an abnormal accumulation of fluorodeoxyglucose. Dynamic CT showed a 23-mm tumor, with ring enhancement in the early phase. Magnetic resonance imaging with gadolinium–ethoxybenzyl-diethylenetriamine penta-acetic acid demonstrated that the tumor had high intensity in T2 weighted sequences and low intensity in the hepatobiliary phase. With a preoperative diagnosis of intrahepatic cholangiocarcinoma or delayed liver metastasis, laparoscopic S7/8 partial resection was performed. The operative time was 324 min, and the intraoperative bleeding volume was 35 mL. The patient was discharged on day 15 without any postoperative complications. Upon histopathological examination, the final diagnosis was CRLM. The patient has survived for 1 year without any recurrence. Conclusions It is important to pay attention to the occurrence of delayed-metachronous CRLM. |
| format | Article |
| id | doaj-art-0782a624086c48c8a71fe9f3208aec96 |
| institution | Kabale University |
| issn | 2198-7793 |
| language | English |
| publishDate | 2022-08-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-0782a624086c48c8a71fe9f3208aec962025-08-20T03:33:02ZengJapan Surgical SocietySurgical Case Reports2198-77932022-08-01811610.1186/s40792-022-01503-9Metachronous colorectal liver metastasis that occurred 10 years after laparoscopic colectomy: a case reportHidetoshi Shidahara0Tomoyuki Abe1Akihiko Oshita2Yusuke Sumi3Hiroshi Okuda4Manabu Kurayoshi5Shuji Yonehara6Tsuyoshi Kobayashi7Hideki Ohdan8Toshio Noriyuki9Masahiro Nakahara10Department of Surgery, Onomichi General HospitalDepartment of Surgery, Onomichi General HospitalDepartment of Surgery, Onomichi General HospitalDepartment of Surgery, Onomichi General HospitalDepartment of Surgery, Onomichi General HospitalDepartment of Surgery, Onomichi General HospitalDepartment of Pathology, Onomichi General HospitalDepartment of Gastroenterological and Transplant Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima UniversityDepartment of Gastroenterological and Transplant Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima UniversityDepartment of Surgery, Onomichi General HospitalDepartment of Surgery, Onomichi General HospitalAbstract Background Delayed onset of colorectal liver metastasis (CRLM) > 5 years after primary colorectal surgery is rare. Herein, we report a case of delayed-onset CRLM that occurred 10 years after primary surgery, for which laparoscopic hepatectomy was performed. Case presentation A 68-year-old man was admitted to the hospital. His medical history revealed double colon cancer detected 10 years ago, for which laparoscopic colectomy was performed. The pathological tumor–node–metastasis stages were stages I and II. Thereafter, oral floor cancer occurred 7 years after the primary surgery and was curatively resected. The annual follow-up with positron emission tomography–computed tomography (CT) identified a tumor at segment 7/8 (S7/8) of the liver with an abnormal accumulation of fluorodeoxyglucose. Dynamic CT showed a 23-mm tumor, with ring enhancement in the early phase. Magnetic resonance imaging with gadolinium–ethoxybenzyl-diethylenetriamine penta-acetic acid demonstrated that the tumor had high intensity in T2 weighted sequences and low intensity in the hepatobiliary phase. With a preoperative diagnosis of intrahepatic cholangiocarcinoma or delayed liver metastasis, laparoscopic S7/8 partial resection was performed. The operative time was 324 min, and the intraoperative bleeding volume was 35 mL. The patient was discharged on day 15 without any postoperative complications. Upon histopathological examination, the final diagnosis was CRLM. The patient has survived for 1 year without any recurrence. Conclusions It is important to pay attention to the occurrence of delayed-metachronous CRLM.https://doi.org/10.1186/s40792-022-01503-9Colorectal liver metastasisMetachronousDelayed onset |
| spellingShingle | Hidetoshi Shidahara Tomoyuki Abe Akihiko Oshita Yusuke Sumi Hiroshi Okuda Manabu Kurayoshi Shuji Yonehara Tsuyoshi Kobayashi Hideki Ohdan Toshio Noriyuki Masahiro Nakahara Metachronous colorectal liver metastasis that occurred 10 years after laparoscopic colectomy: a case report Surgical Case Reports Colorectal liver metastasis Metachronous Delayed onset |
| title | Metachronous colorectal liver metastasis that occurred 10 years after laparoscopic colectomy: a case report |
| title_full | Metachronous colorectal liver metastasis that occurred 10 years after laparoscopic colectomy: a case report |
| title_fullStr | Metachronous colorectal liver metastasis that occurred 10 years after laparoscopic colectomy: a case report |
| title_full_unstemmed | Metachronous colorectal liver metastasis that occurred 10 years after laparoscopic colectomy: a case report |
| title_short | Metachronous colorectal liver metastasis that occurred 10 years after laparoscopic colectomy: a case report |
| title_sort | metachronous colorectal liver metastasis that occurred 10 years after laparoscopic colectomy a case report |
| topic | Colorectal liver metastasis Metachronous Delayed onset |
| url | https://doi.org/10.1186/s40792-022-01503-9 |
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