Laparoscopic subtotal colectomy for synchronous triple colorectal cancer: A case report

  • Authors:
    • Xuetong Jiang
    • Chuanqi Xu
    • Dong Tang
    • Daorong Wang
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  • Published online on: June 29, 2016     https://doi.org/10.3892/ol.2016.4803
  • Pages: 1525-1528
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Abstract

Synchronous colorectal cancers refer to the simultaneous occurrence of multiple colorectal tumors in a single patient, excluding any metastases from other organs. At present, radical surgery is considered the standard curative treatment; however, individualized surgical strategies depend on tumor location, the depth of invasion and the general health of the patient. In the present study, the case of a 52‑year‑old man who presented with a 2‑month history of abdominal pain that was accompanied by intermittent hematochezia and weight loss is reported. The patient had no family history of cancer. Computed tomography (CT) of the abdomen revealed intestinal wall thickness in the transverse colon and volvulus in the hepatic flexure of colon. Colonoscopy identified 3 tumors: The first tumor was located in the descending colon with lumen stenosis ~60 cm from the anal verge, the second tumor was located in the hepatic flexure of the colon, and the third tumor was located in the sigmoid colon, 23 cm from the anal verge. Subsequently, laparoscopic subtotal colectomy was performed and all three tumors were removed, and the diagnosis was confirmed by histopathological examination. The patient did not undergo chemotherapy following surgery, due to personal reasons. Subsequent to 19 months of follow‑up examinations using CT and colonoscopy every 6 months, the patient exhibited no signs of recurrence. Thus, laparoscopic subtotal colectomy represents an effective surgical approach for the treatment of synchronous colorectal cancer following imaging and endoscopic diagnosis.
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August-2016
Volume 12 Issue 2

Print ISSN: 1792-1074
Online ISSN:1792-1082

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Spandidos Publications style
Jiang X, Xu C, Tang D and Wang D: Laparoscopic subtotal colectomy for synchronous triple colorectal cancer: A case report. Oncol Lett 12: 1525-1528, 2016
APA
Jiang, X., Xu, C., Tang, D., & Wang, D. (2016). Laparoscopic subtotal colectomy for synchronous triple colorectal cancer: A case report. Oncology Letters, 12, 1525-1528. https://doi.org/10.3892/ol.2016.4803
MLA
Jiang, X., Xu, C., Tang, D., Wang, D."Laparoscopic subtotal colectomy for synchronous triple colorectal cancer: A case report". Oncology Letters 12.2 (2016): 1525-1528.
Chicago
Jiang, X., Xu, C., Tang, D., Wang, D."Laparoscopic subtotal colectomy for synchronous triple colorectal cancer: A case report". Oncology Letters 12, no. 2 (2016): 1525-1528. https://doi.org/10.3892/ol.2016.4803