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Hike S, Endo S, Ota M, Ohira G, Maruyama M, Imanishi S, Maruyama T, Tochigi T, Amagai H, Shiraishi T, Hirata A, Mamiya H, Iwata M, Kakimoto A, Matsubara H. A case of rectal metastasis of prostate cancer mimicking extramural growth-type rectal tumor. J Surg Case Rep 2024; 2024:rjae314. [PMID: 38764733 PMCID: PMC11102788 DOI: 10.1093/jscr/rjae314] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2024] [Accepted: 04/30/2024] [Indexed: 05/21/2024] Open
Abstract
Rectal metastases of prostate cancer are rare and may be difficult to diagnose. In this report, we describe a case in which an extramural growth-type rectal tumor was resected and pathologically diagnosed as prostate cancer metastasis. A 70-year-old man on hormone therapy for prostate cancer with seminal vesicle invasion and pelvic lymph node metastasis was referred to our department after an imaging scan showed an extramural growth-type rectal tumor. Endoscopic ultrasound-guided fine needle aspiration was considered for diagnosis, but the patient preferred an early resection without the exam, so surgery was performed. Histopathological examination revealed that the lesion was in the adventitia of the rectum and metastasis of prostate cancer. Metastatic lesions of prostate cancer are not indicated for resection. A detailed preoperative study with the possibility of prostate cancer metastasis in mind is necessary because it is relevant to choosing the treatment strategy.
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Affiliation(s)
- Shutaro Hike
- Department of Frontier Surgery, Graduate School of Medicine, Chiba University, Chiba 260-8670, Japan
| | - Satoshi Endo
- Department of Frontier Surgery, Graduate School of Medicine, Chiba University, Chiba 260-8670, Japan
| | - Masayuki Ota
- Department of Diagnostic Pathology, Graduate School of Medicine, Chiba University, Chiba 260-8670, Japan
| | - Gaku Ohira
- Department of Frontier Surgery, Graduate School of Medicine, Chiba University, Chiba 260-8670, Japan
| | - Michihiro Maruyama
- Department of Frontier Surgery, Graduate School of Medicine, Chiba University, Chiba 260-8670, Japan
| | - Shunsuke Imanishi
- Department of Frontier Surgery, Graduate School of Medicine, Chiba University, Chiba 260-8670, Japan
| | - Tetsuro Maruyama
- Department of Frontier Surgery, Graduate School of Medicine, Chiba University, Chiba 260-8670, Japan
| | - Toru Tochigi
- Department of Frontier Surgery, Graduate School of Medicine, Chiba University, Chiba 260-8670, Japan
| | - Hiroyuki Amagai
- Department of Frontier Surgery, Graduate School of Medicine, Chiba University, Chiba 260-8670, Japan
| | - Tadashi Shiraishi
- Department of Frontier Surgery, Graduate School of Medicine, Chiba University, Chiba 260-8670, Japan
| | - Atsushi Hirata
- Department of Frontier Surgery, Graduate School of Medicine, Chiba University, Chiba 260-8670, Japan
| | - Hisashi Mamiya
- Department of Frontier Surgery, Graduate School of Medicine, Chiba University, Chiba 260-8670, Japan
| | - Moe Iwata
- Department of Frontier Surgery, Graduate School of Medicine, Chiba University, Chiba 260-8670, Japan
| | - Ayano Kakimoto
- Department of Frontier Surgery, Graduate School of Medicine, Chiba University, Chiba 260-8670, Japan
| | - Hisahiro Matsubara
- Department of Frontier Surgery, Graduate School of Medicine, Chiba University, Chiba 260-8670, Japan
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2
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Chen S, Hao Y, Huang S, Leng D, Ma Y. Resection of rectal metastasis after previous radical surgery for pancreatic cancer: Case report and literature review. Medicine (Baltimore) 2023; 102:e36365. [PMID: 38065910 PMCID: PMC10713107 DOI: 10.1097/md.0000000000036365] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/09/2023] [Accepted: 11/08/2023] [Indexed: 12/18/2023] Open
Abstract
RATIONALE Pancreatic ductal adenocarcinoma (PDAC) is the main type of pancreatic cancer with a poor prognosis. Rectal metastasis after radical resection of PDAC is comparatively rare, and the understanding of such cases is currently not unified. This study presents the entire process of diagnosis and treatment of a patient with PDAC metastasized to the rectal. We propose the viewpoint of exploring potential biomarkers or establishing effective predictive models to assist in the clinical decision-making of such cases. PATIENT CONCERNS We present the case of a 71-year-old man with slight abdominal distension and dull pain. He underwent surgical treatment for a malignant tumor of the pancreatic body, which was discovered through computed tomography and magnetic resonance imaging examinations. Nine months after the pancreatectomy, a rectal mass was identified by digital rectal examination and diagnosed as a malignant lesion through a puncture biopsy. After a multidisciplinary joint consultation, the patient underwent radical surgery. It was later confirmed as rectal adenocarcinoma based on postoperative pathological results. DIAGNOSIS The pathological result after pancreatic surgery was PDAC, which had invaded the peripheral nerves and abdominal arteries. A diagnosis of rectal metastasis was determined ultimately by combining with the medical history and immunohistochemical staining results. INTERVENTIONS AND OUTCOMES Treatment of the PDAC included laparoscopic resection of the body and tail of the pancreas combined with splenectomy, and postoperative systemic chemotherapy. In addition, treatment of the rectal metastasis included laparoscopic radical resection and postoperative systemic chemotherapy. The patient's current living condition was good. LESSONS As a rare metastatic site of PDAC, rectal metastasis should be avoided because of misdiagnosis and missed diagnosis. Surgical resection is still an effective treatment strategy for localized pancreatic tumors and isolated metastases. Furthermore, the mining of potential biomarkers or the establishment of predictive models for pancreatic cancer and its metastases may contribute to better clinical decision-making in the future.
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Affiliation(s)
- Shuwei Chen
- Department of Gastrointestinal Surgery, Chinese PLA 970th Hospital, Yantai, P.R. China
| | - Yanfei Hao
- Department of Anesthesiology, Yantai Hospital of Traditional Chinese Medicine Hospital, Yantai, P.R. China
| | - Shaoyang Huang
- Department of Gastrointestinal Surgery, Chinese PLA 970th Hospital, Yantai, P.R. China
| | - Dong Leng
- Department of Gastrointestinal Surgery, Chinese PLA 970th Hospital, Yantai, P.R. China
| | - Yuxiang Ma
- Information Department, Chinese PLA 970th Hospital, Yantai, P.R. China
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Bolliet M, Green M, Damadi A. Gastric adenocarcinoma metastasis to the rectum causing complete obstruction, a case report. J Surg Case Rep 2023; 2023:rjad560. [PMID: 37873050 PMCID: PMC10590633 DOI: 10.1093/jscr/rjad560] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2023] [Accepted: 09/21/2023] [Indexed: 10/25/2023] Open
Abstract
Gastric adenocarcinoma is a leading cause of mortality worldwide. The most common sites of metastases are the liver, peritoneum, lungs, and bones. Cases have been described in the colon and rectum, but are very rare. This case report describes a patient in remission from diffuse signet ring cell type gastric adenocarcinoma with resection and chemoradiation close to 10 years prior to presenting with a near-obstructing rectal mass that was consistent with metastatic gastric adenocarcinoma. Gastric cancer spreads via hematogenous, lymphatic, peritoneal seeding, or local recurrence pathways. Given the length of time between initial presentation and eventual metastasis, the theory of dormancy is discussed and proposed as a possible cause in the delay of metastasis to the rectum. This highlights the importance of maintaining a high index of suspicion for recurrence and metastasis in a patient with a history of gastric cancer, who presents with a new obstructing rectal mass.
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Affiliation(s)
- Marine Bolliet
- Department of Surgery, Ascension Providence Hospital-Michigan State University College of Human Medicine, Soutfield Campus, 16001 West Nine Mile Road, Southfield, MI 48075, United States
| | - Mary Green
- Michigan State University College of Osteopathic Medicine, East Lansing, MI, United States
| | - Amir Damadi
- Department of Surgery, Ascension Providence Hospital-Michigan State University College of Human Medicine, Soutfield Campus, 16001 West Nine Mile Road, Southfield, MI 48075, United States
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Isaac S, Pasha MA, Kishore Raja Thinagaran J, Lal A. Rectal Metastasis of Renal Cell Carcinoma. Intern Med 2023; 62:1103. [PMID: 35989276 PMCID: PMC10125811 DOI: 10.2169/internalmedicine.0603-22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Affiliation(s)
- Sangeetha Isaac
- Department of Internal Medicine, North Alabama Medical Center, USA
| | | | | | - Amos Lal
- Department of Medicine, Division of Pulmonary and Critical Care Medicine, Mayo Clinic, USA
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5
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Nagahisa C, Iizuka J, Kobari Y, Minoda R, Fukuda H, Yoshida K, Okuda H, Ishida H, Nagashima Y, Takagi T. Efficacy of Combined Pembrolizumab and Pelvic Radiotherapy for Bladder Cancer With Rectal Metastases. In Vivo 2023; 37:912-915. [PMID: 36881084 PMCID: PMC10026634 DOI: 10.21873/invivo.13162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2022] [Revised: 01/05/2023] [Accepted: 01/20/2023] [Indexed: 03/08/2023]
Abstract
BACKGROUND/AIM Rectal metastases from urothelial carcinoma (UC) are extremely rare with poor prognosis when treated with gemcitabine and cisplatin (GC) chemotherapy, radiation therapy, and total pelvic exenteration. Long-term survival has not been observed in patients treated with GC chemotherapy, radiation therapy, or total pelvic resection. However, there have been no reports on the efficacy of pembrolizumab therapy for this specific condition. Herein, we describe a case of rectal metastasis from UC, treated with combined pembrolizumab and pelvic radiotherapy. CASE REPORT A 67-year-old male patient with an invasive bladder tumour underwent robot-assisted radical cystectomy and ileal conduit diversion followed by neoadjuvant GC chemotherapy. The pathological findings showed high-grade UC, pT4a, with a negative surgical margin. He presented with an impacted ileus due to severe rectal stenosis on postoperative day 35 and underwent a colostomy. Pathologically, rectal biopsy confirmed rectal metastasis; thus, the patient was started on pembrolizumab 200 mg every 3 weeks and pelvic radiotherapy with a total dose of 45 Gy. The rectal metastases remained well controlled with stable disease status, and no adverse events were observed 10 months after the initiation of combined pembrolizumab and pelvic radiotherapy. CONCLUSION Pembrolizumab combined with radiation therapy may be an alternative treatment for rectal metastases from UC.
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Affiliation(s)
- Chika Nagahisa
- Department of Urology, Tokyo Women's Medical University, Tokyo, Japan
| | - Junpei Iizuka
- Department of Urology, Tokyo Women's Medical University, Tokyo, Japan;
| | - Yuki Kobari
- Department of Urology, Tokyo Women's Medical University, Tokyo, Japan
| | - Ryo Minoda
- Department of Urology, Tokyo Women's Medical University, Tokyo, Japan
| | - Hironori Fukuda
- Department of Urology, Tokyo Women's Medical University, Tokyo, Japan
| | - Kazuhiko Yoshida
- Department of Urology, Tokyo Women's Medical University, Tokyo, Japan
| | - Hisashi Okuda
- Department of Urology, Shiseikai Daini Hospital, Tokyo, Japan
| | - Hideki Ishida
- Department of Urology, Tokyo Women's Medical University, Tokyo, Japan
| | - Yoji Nagashima
- Department of Surgical Pathology, Tokyo Women's Medical University, Tokyo, Japan
| | - Toshio Takagi
- Department of Urology, Tokyo Women's Medical University, Tokyo, Japan
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6
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Keating S, Imtiaz A, Nahum K, Prasad A, Cheriyath P. An Interesting Case of Prostate Cancer Presenting With Colonic Metastasis. Cureus 2023; 15:e34602. [PMID: 36883094 PMCID: PMC9985925 DOI: 10.7759/cureus.34602] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/03/2023] [Indexed: 02/05/2023] Open
Abstract
Prostate cancer is common cancer that grows slowly and tends to metastasize to bones, lungs, and the liver. Most malignancies have established patterns in presentation, localization, and organs where they metastasize. We are presenting a case of a 60-year-old man who presented with abdominal pain and, on further investigation, was found to have polyps in the colon, a flat rectal mass with eccentric thickening of the rectum, a moderately enlarged prostate, and multiple liver masses suggestive of metastasis. It was initially thought to be colorectal cancer with metastasis but was eventually diagnosed as a stage IV prostate adenocarcinoma with metastases to the liver and rectum. It is very unusual for prostate cancer to present with distal metastasis to the liver and rectum, as in this case.
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Affiliation(s)
- Shawn Keating
- Internal Medicine, Hackensack Meridian Health, Ocean Medical Center, Brick, USA
| | - Ayesha Imtiaz
- Internal Medicine, Hackensack Meridian Health, Ocean Medical Center, Brick, USA
| | - Kenneth Nahum
- Oncology, Hackensack University Medical Center, Brick, USA
| | - Ankita Prasad
- Internal Medicine, Ocean University Medical Center, Brick, USA
| | - Pramil Cheriyath
- Internal Medicine, Hackensack Meridian Health, Ocean Medical Center, Brick, USA
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7
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Chen J, Zhang S, Chen J. Case report: A case of rectal metastatic squamous cell carcinoma from the esophagus. Front Oncol 2023; 13:1092868. [PMID: 36874084 PMCID: PMC9981638 DOI: 10.3389/fonc.2023.1092868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2022] [Accepted: 02/07/2023] [Indexed: 02/19/2023] Open
Abstract
Esophageal cancer is prone to distant metastasis, and the prognosis is very poor; the occurrence of intestinal metastasis is extremely rare, with atypical clinical manifestations. We report a case of rectal metastasis after surgery for esophageal squamous cell carcinoma. The patient was a 63-year-old male who was admitted to the hospital due to progressive dysphagia. He was diagnosed with moderately differentiated esophageal squamous cell carcinoma after the surgery. He was not treated with chemoradiotherapy after surgery and had recurrent blood in his stool at 9 months post-surgery; rectal metastasis of esophageal squamous carcinoma was diagnosed based on postoperative pathology. Because the patient had a positive rectal margin, we used adjuvant chemoradiotherapy and carrelizumab immunotherapy, achieving very good short-term efficacy. The patient is currently in a state of tumor-free survival and is still being closely followed up and treated. Through this case report, we hope to deepen understanding of rare metastasis of esophageal squamous cell carcinoma and actively promote local radiotherapy plus chemotherapy and immunotherapy to improve survival.
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Affiliation(s)
- Junni Chen
- Department of Radiation Oncology, Hainan General Hospital, Hainan Affiliated Hospital of Hainan Medical University, Haikou, Hainan, China
| | - Shuai Zhang
- Department of Radiation Oncology, Hainan General Hospital, Hainan Affiliated Hospital of Hainan Medical University, Haikou, Hainan, China
| | - Jiawei Chen
- Department of Radiation Oncology, Hainan General Hospital, Hainan Affiliated Hospital of Hainan Medical University, Haikou, Hainan, China
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Affiliation(s)
- Sho Sasaki
- Department of Gastroenterology, Sasaki Surgical Hospital, Japan
| | | | - Akira Sasaki
- Department of Surgery, Sasaki Surgical Hospital, Japan
| | - Taro Takami
- Department of Gastroenterology and Hepatology, Yamaguchi University Graduate School of Medicine, Japan
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9
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Wadehra A, Alkassis S, Rizwan A, Yazdanpanah O. Rectal Invasion by Metastatic Prostate Adenocarcinoma. Cureus 2021; 13:e15569. [PMID: 34277191 PMCID: PMC8272540 DOI: 10.7759/cureus.15569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/10/2021] [Indexed: 11/05/2022] Open
Abstract
In men, prostate cancer is the second most diagnosed cancer worldwide. Typical sites for metastasis include bone, lung, and liver. Prostate cancer with gastrointestinal involvement, particularly rectal, has been rarely reported in the literature. As patients with prostate cancer with rectal invasion may present with symptoms similar to those of other gastrointestinal pathologies, such as anal fissures and rectal carcinoma itself, misdiagnosis and delays in care can result. Direct visualization of the rectum via endoscopy, along with biopsy, allows clinicians to make an accurate and timely diagnosis in patients with prostate cancer with rectal involvement, which in turn leads to broader available treatment options.
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Affiliation(s)
- Anshu Wadehra
- Internal Medicine, Wayne State University/Detroit Medical Center, Detroit, USA
| | - Samer Alkassis
- Internal Medicine, Wayne State University/Detroit Medical Center, Detroit, USA
| | - Aliza Rizwan
- Internal Medicine, Wayne State University/Detroit Medical Center, Detroit, USA
| | - Omid Yazdanpanah
- Internal Medicine, Wayne State University/Detroit Medical Center, Detroit, USA
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10
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Huang J, Xu L, Cheng G, Wu W, Tang W, Xu L, Hu D. A case of rectal metastasis of ovarian carcinoma diagnosed by endoscopic ultrasound-guided fine-needle aspiration: A case report and brief review of the literature (with videos). Clin Case Rep 2021; 9:2276-2280. [PMID: 33936678 PMCID: PMC8077282 DOI: 10.1002/ccr3.4011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2020] [Revised: 02/06/2021] [Accepted: 02/22/2021] [Indexed: 11/09/2022] Open
Abstract
When colorectal subepithelial lesions occur in ovarian carcinoma patients, EUS-FNA may help to diagnose colorectal metastasis, thereby guiding clinicians to select appropriate treatment and improve the overall outcome.
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Affiliation(s)
- Jialiang Huang
- Department of GastroenterologySecond Affiliated Hospital of Soochow UniversitySuzhou CityChina
| | - Liming Xu
- Department of GastroenterologySecond Affiliated Hospital of Soochow UniversitySuzhou CityChina
| | - Guilian Cheng
- Department of GastroenterologySecond Affiliated Hospital of Soochow UniversitySuzhou CityChina
| | - Wei Wu
- Department of GastroenterologySecond Affiliated Hospital of Soochow UniversitySuzhou CityChina
| | - Wen Tang
- Department of GastroenterologySecond Affiliated Hospital of Soochow UniversitySuzhou CityChina
| | - Longjiang Xu
- Department of PathologySecond Affiliated Hospital of Soochow UniversitySuzhou CityChina
| | - Duanmin Hu
- Department of GastroenterologySecond Affiliated Hospital of Soochow UniversitySuzhou CityChina
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11
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Oda R, Okuda K, Yamashita Y, Sakane T, Tatematsu T, Yokota K, Endo K, Nakanishi R. Long-term survivor of pulmonary combined large cell neuroendocrine carcinoma treated with nivolumab. Thorac Cancer 2020; 11:2036-2039. [PMID: 32379390 PMCID: PMC7327674 DOI: 10.1111/1759-7714.13471] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2020] [Revised: 04/19/2020] [Accepted: 04/19/2020] [Indexed: 01/09/2023] Open
Abstract
Several authors have previously reported that patients with pulmonary combined large cell neuroendocrine cancer ( LCNEC) have a poor prognosis and there is no consensus on the treatment strategy for combined LCNEC as well as LCNEC. Here, we report the case of a long‐term survivor with pulmonary combined LCNEC. The patient was a 60‐year‐old man who underwent thoracoscopic right lower lobectomy. The final histopathology and staging of the tumor showed LCNEC combined with squamous cell carcinoma and T2aN0M0 stage IB. Multimodality treatments including chemotherapy, radiotherapy and surgery for several recurrences were performed after the pulmonary surgery. After immune checkpoint inhibitor (ICI) therapy with nivolumab, all the metastatic lesions shrunk and a partial response was maintained at five years after the first surgery. In our case, ICI after multimodality therapy combining cytotoxic anticancer drugs and radiotherapy was effective in LCNEC with metachronous multiple metastases. Key points Significant findings of the study Immune checkpoint inhibitor after multimodality therapy combining cytotoxic anticancer drugs and radiotherapy was effective in LCNEC with metachronous multiple metastases. The patient survived over five‐years after the first surgery. What this study adds Immune checkpoint inhibitor may be effective in some LCNEC patients.
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Affiliation(s)
- Risa Oda
- Department of Oncology, Immunology and Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
| | - Katsuhiro Okuda
- Department of Oncology, Immunology and Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
| | - Yoriko Yamashita
- Department of Pathology and Molecular Diagnostics, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
| | - Tadashi Sakane
- Department of Oncology, Immunology and Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
| | - Tsutomu Tatematsu
- Department of Oncology, Immunology and Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
| | - Keisuke Yokota
- Department of Oncology, Immunology and Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
| | - Katsuhiko Endo
- Department of Oncology, Immunology and Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
| | - Ryoichi Nakanishi
- Department of Oncology, Immunology and Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
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12
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Vande Berg P, Fonseca S, Al-Awa A, Rezai Monfared M, Delande S, Chamlou R, Etogo-Asse FE, Van Maele P. A rectal metastasis of an unknown lobular breast carcinoma and its management. Acta Gastroenterol Belg 2020; 83:327-330. [PMID: 32603055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Breast cancer is the most common cancer in women but gastro- intestinal metastases of breast cancer are rare. They can occur years after the diagnosis or at the diagnosis of breast cancer. We report the case of a patient complaining of dyschesia, tenesmus and anal incontinence leading to the discovery of a rectal metastasis of an unknown breast neoplasia. Given the oligo-metastatic condition, multidisciplinary and aggressive management was the chosen therapy.
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Affiliation(s)
- P Vande Berg
- Université catholique de Louvain, Bruxelles, Belgium
| | - S Fonseca
- Clinique Saint Jean, Bruxelles, Belgium
| | - A Al-Awa
- Vrije Universiteit Brussel, Belgium
| | | | - S Delande
- Clinique Saint Jean, Bruxelles, Belgium
| | - R Chamlou
- Clinique Saint Jean, Bruxelles, Belgium
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13
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Liu ZH, Li C, Kang L, Zhou ZY, Situ S, Wang JP. Prostate cancer incorrectly diagnosed as a rectal tumor: A case report. Oncol Lett 2015; 9:2647-2650. [PMID: 26137121 DOI: 10.3892/ol.2015.3100] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2014] [Accepted: 03/04/2015] [Indexed: 01/04/2023] Open
Abstract
Colorectal cancer is the third most commonly diagnosed type of cancer in the world. Prostate adenocarcinoma is the most common male genitourinary tract malignancy, usually occurring after the age of 60. Prostate adenocarcinoma is a highly metastatic cancer. The common metastatic locations of prostate cancer are the bone, lung and liver. The elective locations are bones. Solitary rectal metastasis of prostate cancer is relatively rare. In the present study we report a case of solitary metastasis of a prostate adenocarcinoma with the prostatic capsule intact, which initially led to an incorrect diagnosis.
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Affiliation(s)
- Zhi-Hua Liu
- Department of Colorectal Surgery, Gastrointestinal Institute of Sun Yat-Sen University, The Sixth Affiliated Hospital of Sun Yat-Sen University (Guangdong Gastrointestinal Hospital), Guangzhou, Guangdong 510655, P.R. China
| | - Chao Li
- Department of Colorectal Surgery, Gastrointestinal Institute of Sun Yat-Sen University, The Sixth Affiliated Hospital of Sun Yat-Sen University (Guangdong Gastrointestinal Hospital), Guangzhou, Guangdong 510655, P.R. China
| | - Liang Kang
- Department of Colorectal Surgery, Gastrointestinal Institute of Sun Yat-Sen University, The Sixth Affiliated Hospital of Sun Yat-Sen University (Guangdong Gastrointestinal Hospital), Guangzhou, Guangdong 510655, P.R. China
| | - Zhi-Yang Zhou
- Department of Colorectal Surgery, Gastrointestinal Institute of Sun Yat-Sen University, The Sixth Affiliated Hospital of Sun Yat-Sen University (Guangdong Gastrointestinal Hospital), Guangzhou, Guangdong 510655, P.R. China
| | - Sheng Situ
- Department of Colorectal Surgery, Gastrointestinal Institute of Sun Yat-Sen University, The Sixth Affiliated Hospital of Sun Yat-Sen University (Guangdong Gastrointestinal Hospital), Guangzhou, Guangdong 510655, P.R. China
| | - Jian-Ping Wang
- Department of Colorectal Surgery, Gastrointestinal Institute of Sun Yat-Sen University, The Sixth Affiliated Hospital of Sun Yat-Sen University (Guangdong Gastrointestinal Hospital), Guangzhou, Guangdong 510655, P.R. China
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