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06:46
Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection
Published on: January 9, 2026
Isolated abdominal wound recurrence after lymph-node dissection for appendiceal adenocarcinoma
Hironori Yamaguchi1, Masahiro Ishimaru, Hiroyuki Suzuki
1Department of Surgical Oncology, University of Tokyo Hospital, Tokyo, Japan. yamaguchih-tky@umin.net
American Journal of Surgery
|October 20, 2009
Summary
Appendiceal adenocarcinoma can recur in abdominal wounds years after surgery. This case highlights potential tumor cell seeding during lymph node dissection, emphasizing careful surgical technique for preventing metastasis.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Pathology
Background:
- Appendiceal adenocarcinoma is a rare malignancy.
- Early diagnosis and surgical management are crucial for patient outcomes.
Observation:
- A 47-year-old male presented with right lower quadrant pain, diagnosed with appendiceal adenocarcinoma.
- Initial treatment involved appendectomy, followed by ileocecal resection with lymph node dissection due to lymphatic invasion and metastasis.
Findings:
- A late abdominal wall recurrence was observed within a previous surgical scar five years post-resection.
- The recurrence was successfully treated with complete tumor excision.
Implications:
- This case suggests that tumor cell seeding from transected lymph vessels during lymph node dissection may cause abdominal wound recurrence.
- Meticulous surgical techniques are essential to minimize the risk of metastasis and recurrence in appendiceal cancer patients.
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