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[Multiorgan resection in T4 colonic adenocarcinoma. Report of a case]
L F Oñate-Ocaña1, R Herrera-Goepfert, V Aiello-Crocifoglio
1Departamento de Gastroenterología, Instituto Nacional de Cancerología, San Fernando 22, Colonia Toriello Guerra, México D.F. 14000, México. lonate@dfl.telmex.net.mx
Background:
Colorectal cancer is the second among gastrointestinal malignancies in Mexico Locally advanced disease or metastatic lesions are frequently found. To resect or not such a tumor is a difficult decision.
Objective:
To report a case of colon cancer with multivisceral invasion resected and to review the published information.
Clinical Material:
A 43 year-old Mexican male with rectal bleeding and weight loss with a tumor located in transverse colon with direct invasion to stomach. CT scan demonstrated invasion to spleen and pancreas. En-bloc radical-extended right colectomy, total gastrectomy, distal pancreatectomy, splenectomy and left adrenalectomy was performed. Adjuvant chemotherapy was used. At 12-month follow-up he is asymptomatic, without neoplasic activity and with good quality of life.
Conclusion:
An aggressive multiorganic resection in T4 colorectal tumors is justified in selected cases. The high morbidity and mortality of these procedures must be evaluated individually, and if permissive must be performed.