A Case of Metachronous Spermatic Cord Metastasis from Ascending Colon Cancer
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- Kozu Takumi
- Department of Surgery, Japanese Red Cross Otsu Hospital
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- Ito Tatsuo
- Department of Surgery, Japanese Red Cross Otsu Hospital
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- Ataka Ryo
- Department of Surgery, Japanese Red Cross Otsu Hospital
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- Taga Ryo
- Department of Surgery, Japanese Red Cross Otsu Hospital
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- Matsubayashi Jun
- Department of Surgery, Japanese Red Cross Otsu Hospital
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- Nakayama Yusuke
- Department of Surgery, Japanese Red Cross Otsu Hospital
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- Ikeno Yoshinobu
- Department of Surgery, Japanese Red Cross Otsu Hospital
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- Kitaguchi Kazuhiko
- Department of Surgery, Japanese Red Cross Otsu Hospital
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- Toyoda Eiji
- Department of Surgery, Japanese Red Cross Otsu Hospital
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- Hirose Tetsuro
- Department of Surgery, Japanese Red Cross Otsu Hospital
Bibliographic Information
- Other Title
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- 上行結腸癌異時性精索転移の1例
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Abstract
<p>A 75-year-old man underwent a right hemicolectomy for ascending colon cancer at age 72. Adjuvant chemotherapy was performed due to postoperative diagnosis of a high-risk stage IIb tumor. During the follow-up period, a bulge in the left inguinal region was observed and CT revealed a left spermatic cord tumor. Left orchiectomy was performed three years after the primary operation. Histological examination of the resected specimen revealed tubular adenocarcinoma, which was probably a metastasis from the ascending colon cancer. Based on the intraoperative findings of a high risk of recurrence, local radiation therapy and chemotherapy were performed. Spermatic cord metastasis from colon cancer is extremely rare and is associated with a poor prognosis. Metachronous metastasis can occur after a relatively long time and may be asymptomatic, often leading to delayed diagnosis. Spermatic cord metastasis should be considered in a patient with a malignant tumor who presents with an inguinal bulge.</p>
Journal
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- The Japanese Journal of Gastroenterological Surgery
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The Japanese Journal of Gastroenterological Surgery 56 (1), 34-41, 2023-01-01
The Japanese Society of Gastroenterological Surgery
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Details 詳細情報について
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- CRID
- 1390857899420800128
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- ISSN
- 13489372
- 03869768
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
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- Abstract License Flag
- Disallowed