Colonic mucinous adenocarcinoma with atypical metastasis

  • Rita Tomás Interna Cirurgia Geral – Cirurgia B, Hospital Prof. Doutor Fernando Fonseca, Portugal
  • Isabel Aleixo Consultora Hospitalar Cirurgia Geral – Cirurgia B, Hospital Prof. Doutor Fernando Fonseca, Portugal
  • Carlos Martins Assistente Hospitalar Cirurgia Geral – Cirurgia B, Hospital Prof. Doutor Fernando Fonseca, Portugal
  • Wilma Dias Assistente Hospitalar Cirurgia Geral – Cirurgia B, Hospital Prof. Doutor Fernando Fonseca, Portugal
  • Vítor Nunes Director Serviço – Cirurgia Geral B, Hospital Prof. Doutor Fernando Fonseca, Portugal

Abstract

In 2002 a right hemicolectomy was performed in a 70-year-old male with cecal cancer. Histologically it was a well-differenciated mucinous adenocarcinona (Dukes C stage, pT3pN1pMx, tumor free margins). Adjuvant therapy was chemotherapy. In January 2007, during the surgical treatment of right hidrocele testis, the discovery of a large hard mass determined a right orchidectomy. The result of the pathologic analysis was adenocarcinoma with probable origin in the gastro-intestinal tract. In March of the same year the patient was subjected to excision of the spermatic cord and linfadenectomy. The histologic analysis revealed multiple foci of mucinous adeno-carcinoma with probable colic origin and tumor free margins. The exploratory laparoscopy did not show any peritoneal metastasis. In 2008 and 2009 several right inguinal cutaneous metastasis were excised. The patient started radiotherapy in 2009 after the presentation of right paratesticular and perineal metastasis.

Keywords: mucinous adenocarcinoma, atypical metastatic disease, testicular metastasis; inguinal metastasis 

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Published
2012-06-29
How to Cite
TOMÁS, Rita et al. Colonic mucinous adenocarcinoma with atypical metastasis. Revista Portuguesa de Cirurgia, [S.l.], n. 21, p. 41-44, june 2012. ISSN 2183-1165. Available at: <https://revista.spcir.com/index.php/spcir/article/view/48>. Date accessed: 14 june 2024.
Section
Clinical Case