Brahmbhatt Parag, Ross Jason, Saleem Atif, McKinney Jason, Patel Pranav, Khan Sarah, Reddy Chakradhar M, Young Mark
Department of Internal Medicine, East Tennessee State University, Johnson City, TN 37614, USA.
Division of Gastroenterology and Hepatology, East Tennessee State University, Johnson City, TN 37614, USA.
World J Oncol. 2013 Apr;4(2):102-106. doi: 10.4021/wjon624w. Epub 2013 May 6.
Colorectal cancer is one of the leading causes of cancer related deaths in western world. While most common site for metastasis for colon cancer is liver, lung, and the peritoneum, metastasis to various other organs such as brain, bones and thyroid has been reported. Metastatic lesions to the small bowel are more common than primary lesions and most common primary neoplasms that metastasize to the duodenum are lung cancer, renal cell carcinoma, breast cancer, and malignant melanoma. We report a very rare case of recurrent adenocarcinoma of colon metastasizing to duodenum after 2 years of curative resection of primary cancer. Surgical resection for curative intent as well as palliative management is recommended.
结直肠癌是西方世界癌症相关死亡的主要原因之一。虽然结肠癌最常见的转移部位是肝脏、肺和腹膜,但也有报道称其可转移至其他各种器官,如脑、骨和甲状腺。小肠的转移瘤比原发性肿瘤更常见,转移至十二指肠的最常见原发性肿瘤是肺癌、肾细胞癌、乳腺癌和恶性黑色素瘤。我们报告了一例非常罕见的病例,原发性癌症根治性切除2年后,结肠癌复发性腺癌转移至十二指肠。建议进行根治性手术切除以及姑息治疗。