Fukata Tadafumi, Okimura Shumpei, Ito Yoshiro, Taniguchi Yoshiki, Nishida Hisashi, Shingai Tatsushi, Takayama Osamu, Yoshioka Setsuko, Hojo Shigeyuki, Tsuji Motomu, Ohigashi Hiroaki, Fukuzaki Takayuki
Dept. of Surgery, Saiseikai Senri Hospital.
Gan To Kagaku Ryoho. 2021 Mar;48(3):431-433.
A woman in the 60s. She was referred to our hospital because the fecal occult blood test was positive. Colonoscopy was performed. Cancer is found in the transverse colon. There were no metastases in the lungs and liver. Laparoscopic left hemicolectomy was performed. Histopathological examination was adenocarcinoma(tub1>tub2>muc), pT1b, pN2, ly2, v1, pPM0, pDM0, pRM0, budding(0, Grade 1), fStage Ⅲb. After postoperative adjuvant chemotherapy, she visited an outpatient clinic 8 months after surgery with a complaint of swelling of both inguinal lymph nodes. The swollen inguinal lymph node was relatively soft and there was no evidence of infection. A biopsy of the bilateral lymph nodes was performed. Histopathological examination revealed adenocarcinoma containing mucus components. These findings were consistent with histological findings in transverse colon cancer. Based on these results, we diagnosed metastatic recurrence from transverse colon cancer to both inguinal lymph nodes.
