Distant Lung Recurrence of Rectal Cancer 20 Years After Primary Surgery

被引:0
|
作者
Gobishangar, Sreekanthan [1 ]
Gobinath, Sivakumaran [2 ]
Thanenthiran, Antony J. [3 ]
Bakeerathan, Subramaniyam [3 ]
机构
[1] Univ Jaffna, Fac Med, Gen Surg, Jaffna, Sri Lanka
[2] Jaffna Teaching Hosp, Gen Surg, Jaffna, Sri Lanka
[3] Jaffna Teaching Hosp, Surg Oncol, Jaffna, Sri Lanka
关键词
thoracotomy; hemoptysis; adenocarcinoma; lung metastasis; rectal cancer; PULMONARY METASTASES; COLORECTAL-CANCER; RESECTION;
D O I
10.7759/cureus.34122
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A male patient in his 70s, who had undergone an abdominoperineal (A1) resection for rectal cancer 20 years prior, presented with hemoptysis. Imaging studies revealed distant lung recurrence, with no evidence of local recurrence. Biopsy revealed an adenocarcinoma, possibly of rectal origin. Immunohistochemical markers were suggestive of rectal cancer metastasis. However, carcinoembryonic antigen (CEA) levels were normal, and colonoscopy did not reveal any metachronous lesions. Curative left upper lobe resection was performed via posterolateral thoracotomy. The patient's recovery was uneventful.
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页数:6
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