[经TAPP手术切除的盲肠癌腹股沟疝囊转移1例]

[A Case of Inguinal Hernial Sac Metastasis of Cecal Cancer Resected with TAPP Approach].

作者信息

Hiraki Masayuki, Yanagisawa Kiminori, Ikeshima Ryo, Kawai Kenji, Hata Taishi, Shinke Go, Katsuyama Shinsuke, Kinoshita Mitsuru, Katsura Yoshiteru, Ohmura Yoshiaki, Sugimura Keijirou, Masuzawa Toru, Takeda Yutaka, Murata Kohei

机构信息

Dept. of Gastrointestinal Surgery, Kansai Rosai Hospital.

出版信息

Gan To Kagaku Ryoho. 2023 Apr;50(4):523-525.

PMID:37066475

Abstract

Malignant tumor occurring in the inguinal region are relatively infrequent, and metastatic tumor is extremely rare. We report a case of inguinal hernial sac metastasis of cecal cancer resected with TAPP approach. The case is a 80's man. One year and 6 months after cecal cancer surgery, contrast-enhanced computer tomography(CT)examination revealed a solitary tumor in the right inguinal canal. We diagnosed inguinal hernia sac metastasis of cecal cancer and performed surgery. The mass in the hernia sac was resected with the TAPP approach. Histopathological findings were consistent with peritoneal metastasis directly to the inguinal hernia sac. The patient has been alive without 2 years after metastasectomy. It is necessary to treat patients with a history of malignant disease with keeping the possibility of inguinal hernia sac metastasis in mind.

摘要

发生于腹股沟区的恶性肿瘤相对少见，而转移性肿瘤极为罕见。我们报告一例采用经腹腔腹膜前修补术（TAPP）切除的盲肠癌腹股沟疝囊转移病例。该病例为一名80多岁男性。盲肠癌手术后1年6个月，增强计算机断层扫描（CT）检查发现右侧腹股沟管有一个孤立性肿瘤。我们诊断为盲肠癌腹股沟疝囊转移并进行了手术。采用TAPP方法切除疝囊内肿物。组织病理学检查结果与盲肠癌直接转移至腹股沟疝囊相符。该患者在转移灶切除术后已存活2年且无复发。对于有恶性疾病史的患者，有必要考虑到腹股沟疝囊转移的可能性并进行相应治疗。