Efetov Sergey K, Cao Yu, Zou Jinqi, Dorogov Anton Y, Paramonova Nina B, Tsoy Larisa V, Droshneva Inna V, Fatyanova Anastasia S
Department of Faculty Surgery No.2, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, 119435, Russia.
Insitute for Clinical Morphology and Digital Pathology, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, 119435, Russia.
J Surg Case Rep. 2024 Jun 10;2024(6):rjae400. doi: 10.1093/jscr/rjae400. eCollection 2024 Jun.
Colorectal cancer typically metastasizes to the peritoneum, liver, and lungs. However, metastases to the fallopian tube and uterus are uncommon. This case report delves into this rare occurrence of metastasis and discusses its characteristics, diagnostic methods, and treatments based on an extensive literature review. We present the case of a 61-year-old female patient who underwent her initial hospitalization for da Vinci robotic surgery to address colorectal cancer, stage pT3N0M0. However, during routine postoperative follow-up 6 months later, a localized rectal recurrence was detected. The patient commenced chemoradiotherapy with full response. Subsequently, the patient was readmitted due to pelvic pain again, and a magnetic resonance imaging scan revealed an abnormal mass in the patient's left fallopian tube and uterine corpus, infiltrating the myometrium. Consequently, total hysterectomy with bilateral adnexectomy was performed, along with omentectomy, which confirmed metastatic involvement from rectal cancer upon postoperative pathological examination. This case may inform further diagnosis and treatment of colorectal cancer metastasis to the fallopian tube.
结直肠癌通常转移至腹膜、肝脏和肺部。然而，转移至输卵管和子宫并不常见。本病例报告深入探讨了这种罕见的转移情况，并基于广泛的文献综述讨论了其特征、诊断方法和治疗方法。我们报告一例61岁女性患者，她因达芬奇机器人手术首次住院治疗pT3N0M0期结直肠癌。然而，6个月后的常规术后随访期间，发现局部直肠复发。患者开始接受放化疗，效果良好。随后，患者因盆腔疼痛再次入院，磁共振成像扫描显示患者左侧输卵管和子宫体有异常肿块，浸润子宫肌层。因此，进行了全子宫切除术加双侧附件切除术，以及大网膜切除术，术后病理检查证实为直肠癌转移。本病例可为结直肠癌转移至输卵管的进一步诊断和治疗提供参考。
