Subasinghe Duminda, Wijesinghe Harshima, Abeygunasekera Priyanka, Sarawanamuththu Umagowry, Dassanayake Vihara, Sivaganesh Sivasuriya
Division of HPB Surgery, Department of Surgery, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.
The University Surgical Unit, The National Hospital of Sri Lanka.
Clin Pathol. 2022 Dec 22;15:2632010X221145537. doi: 10.1177/2632010X221145537. eCollection 2022 Jan-Dec.
Usual type necrosis (UN) and infarct like necrosis (ILN) occur in CRLMs. ILN is a rare form of necrosis in colorectal liver metastases which is usually seen following chemotherapy. De novo occurrence of ILN is a very rare phenomenon. ILN in CRLM without adjuvant chemotherapy following colorectal resection was not described previously. We describe the presence of complete ILN in a solitary metachronous liver metastasis from right colonic adenocarcinoma without prior chemotherapy.
常见型坏死(UN)和梗死样坏死(ILN)见于结直肠癌肝转移(CRLMs)。ILN是结直肠癌肝转移中一种罕见的坏死形式,通常在化疗后出现。ILN的新发是一种非常罕见的现象。之前未描述过结直肠癌切除术后未进行辅助化疗的CRLM中出现ILN的情况。我们描述了一例来自右半结肠腺癌的孤立性异时性肝转移中存在完全性ILN,且之前未接受过化疗。