Hisham Raja B, Thuaibah Hashim, Gul Yunus A
Department of Surgery, Universiti Putra Malaysia, Serdang, Malaysia.
Asian J Surg. 2006 Apr;29(2):95-7. doi: 10.1016/S1015-9584(09)60115-9.
We present the case of a 32-year-old woman who, 10 months after abdominoperineal resection and total mesorectal excision for a locally advanced mucinous adenocarcinoma of the rectum, presented with local recurrence and metastases to the breast, spine, the left eye and orbit. Following surgery, due to the patient's personal reasons, adjuvant chemoradiation was not given. The patient died 2 months later, with disseminated cancer. To the best of our knowledge, breast as well as ocular metastasis in a patient with mucinous adenocarcinoma of the rectum has never been reported and, therefore, needs to be documented.
我们报告了一例32岁女性患者的病例，该患者因局部晚期直肠黏液腺癌接受腹会阴联合切除术及全直肠系膜切除术后10个月，出现局部复发，并转移至乳腺、脊柱、左眼及眼眶。手术后，由于患者个人原因，未进行辅助放化疗。患者2个月后死于播散性癌症。据我们所知，直肠黏液腺癌患者出现乳腺及眼部转移的情况此前从未有过报道，因此需要记录在案。
