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Pyogenic liver abscess as initial presentation in locally advanced right colon cancer invading the liver, gallbladder, and duodenum |
Kai Qu1, Chang Liu1(), Aasef M A Mansoor2, Bo Wang1, Jincai Chen3, Liang Yu1, Yi Lv1 |
1. Department of Hepatobiliary Surgery, the First Affiliated Hospital, School of Medicine, Xi’an Jiaotong University, Xi’an 710061, China; 2. School of Medicine, Xi’an Jiaotong University, Xi’an 710061, China; 3. Department of General Surgery, the First Affiliated Hospital, ?School of Medicine, Xi’an Jiaotong University, Xi’an 710061, China |
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Abstract Locally advanced colorectal cancer complicated with adjacent organic invasion may remain confined to the local area with minimal metastasis. In the present paper, we report on a patient with advanced right colon cancer, including liver, gallbladder, and duodenal invasion behind the scene of liver abscess. En bloc resection was performed on the patient, with right-hemicolectomy, cholecystectomy, partial duodental resection, and hepatectomy. Postoperative management was administered, including nutritional support in the early postoperative period, effective anti-infection treatment, and adjuvant chemotherapy (FOLFOX4). The patient survived for 16 months after the operation. Common clinical manifestations of colorectal cancer were digestive symptoms and changes in defecation. However, the clinical manifestation of locally advanced colon cancer was extremely complicated. Extended or multivisceral resection may offer patients a chance to survive an acute crisis and allow for treatment with adjuvant therapy.
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Keywords
liver abscess
locally advanced colon cancer
multiorganic invasion
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Corresponding Author(s):
Liu Chang,Email:eyrechang@126.com
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Issue Date: 05 December 2011
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1 |
Cress RD, Morris C, Ellison GL, Goodman MT. Secular changes in colorectal cancer incidence by subsite, stage at diagnosis, and race/ethnicity, 1992-2001. Cancer 2006; 107(Suppl 5): 1142–1152 doi: 10.1002/cncr.22011 pmid:16835912
|
2 |
Center MM, Jemal A, Ward E. International trends in colorectal cancer incidence rates. Cancer Epidemiol Biomarkers Prev 2009; 18(6): 1688–1694 doi: 10.1158/1055-9965.EPI-09-0090 pmid:19505900
|
3 |
Yang L, Li L, Chen Y, Parkin DM. Cancer incidence and mortality estimates and prediction for year 2000 and 2005 in China. Chin J Health Stat (Zhongguo Wei Sheng Tong Ji) 2005; 22(4): 218–221 (in Chinese)
|
4 |
Stangl R, Altendorf-Hofmann A, Charnley RM, Scheele J. Factors influencing the natural history of colorectal liver metastases. Lancet 1994; 343(8910): 1405–1410 doi: 10.1016/S0140-6736(94)92529-1 pmid:7515134
|
5 |
Lopez MJ, Monafo WW. Role of extended resection in the initial treatment of locally advanced colorectal carcinoma. Surgery 1993; 113(4): 365–372 pmid:7681222
|
6 |
Curley SA, Evans DB, Ames FC. Resection for cure of carcinoma of the colon directly invading the duodenum or pancreatic head. J Am Coll Surg 1994; 179(5): 587–592 pmid:7952464
|
7 |
Teitz S, Guidetti-Sharon A, Manor H, Halevy A. Pyogenic liver abscess: warning indicator of silent colonic cancer. Dis Colon Rectum 1995; 38(11): 1220–1223 doi: 10.1007/BF02048342 pmid:7587769
|
8 |
Adelstein BA, Macaskill P, Chan SF, Katelaris PH, Irwig L. Most bowel cancer symptoms do not indicate colorectal cancer and polyps: a systematic review. BMC Gastroenterol 2011; 11(1): 65 doi: 10.1186/1471-230X-11-65 pmid:21624112
|
9 |
Koea JB, Conlon K, Paty PB, Guillem JG, Cohen AM. Pancreatic or duodenal resection or both for advanced carcinoma of the right colon. Dis Colon Rectum 2000; 43(4): 460–465 doi: 10.1007/BF02237187 pmid:10789739
|
10 |
Ike H, Shimada H, Yamaguchi S, Ichikawa Y, Fujii S, Ohki S. Outcome of total pelvic exenteration for primary rectal cancer. Dis Colon Rectum 2003; 46(4): 474–480 doi: 10.1007/s10350-004-6585-2 pmid:12682540
|
11 |
Lehnert T, Methner M, Pollok A, Schaible A, Hinz U, Herfarth C. Multivisceral resection for locally advanced primary colon and rectal cancer: an analysis of prognostic factors in 201 patients. Ann Surg 2002; 235(2): 217–225 doi: 10.1097/00000658-200202000-00009 pmid:11807361
|
12 |
Berrospi F, Celis J, Ruiz E, Payet E. En bloc pancreaticoduodenectomy for right colon cancer invading adjacent organs. J Surg Oncol 2002; 79(3): 194–197 , discussion 198 doi: 10.1002/jso.10072 pmid:11870671
|
13 |
Kapoor S, Das B, Pal S, Sahni P, Chattopadhyay TK. En bloc resection of right-sided colonic adenocarcinoma with adjacent organ invasion. Int J Colorectal Dis 2006; 21(3): 265–268 doi: 10.1007/s00384-005-0756-z pmid:15940511
|
14 |
Nakafusa Y, Tanaka T, Tanaka M, Kitajima Y, Sato S, Miyazaki K. Comparison of multivisceral resection and standard operation for locally advanced colorectal cancer: analysis of prognostic factors for short-term and long-term outcome. Dis Colon Rectum 2004;47(12): 2055–2063 doi: 10.1007/s10350-004-0716-7 pmid:15657654
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